Individual
KEELY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
90 S MAIN ST, MIDDLETOWN, CT 06457
(860) 358-6486
Mailing address
90 S MAIN ST, MIDDLETOWN, CT 06457-3649
(860) 358-6486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7757
CT
Other
Enumeration date
08/30/2018
Last updated
09/11/2018
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