Individual
KELLY MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
909 S MICHAEL ST, SAINT MARYS, PA 15857-3030
(814) 781-5432
(814) 372-2645
Mailing address
1100 MILLION DOLLAR HWY, KERSEY, PA 15846
(814) 781-5432
(814) 372-2645
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN287185
PA
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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