Individual
KELSEA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
6 DOGWOOD ST, PHILIPPI, WV 26416-1660
(715) 207-2772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5378
WI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/13/2020
Last updated
12/21/2021
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