Individual
KELLY JEAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 483-0745
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024188172
VA
367500000X
Certified Registered Nurse Anesthetist
1046794
TX
367500000X
Certified Registered Nurse Anesthetist
133715
TX
Other
Enumeration date
06/10/2021
Last updated
12/10/2025
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