Individual
KELLY LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
601 S JEFFERSON ST, KEARNEY, MO 64060-8513
(866) 389-2727
Mailing address
601 S JEFFERSON ST, KEARNEY, MO 64060-8513
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016007991
MO
Other
Enumeration date
03/22/2016
Last updated
01/24/2019
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