Individual
KIMBERLY A MARTINEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
347 NORTH SMITH AVENUE, 401 MIDWEST CHILDRENS RESOURCE CENTER, ST PAUL, MN 55102
(651) 220-6750
(651) 220-6770
Mailing address
2910 CENTRE POINTE DRIVE, 35 121A CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2327
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R0980191
MN
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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