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Individual

KELLY MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6642 S 193RD PL STE N106, KENT, WA 98032-3109
(206) 486-4867
Mailing address
PO BOX 22881, SEATTLE, WA 98122-0881
(206) 486-4867
(206) 743-0948

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
07/09/2013
Last updated
05/05/2022
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