Individual
KELLY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
179 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301-9207
(570) 421-8526
(570) 421-7899
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(570) 501-6368
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP026280
PA
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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