Individual
KELLY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-5056
Mailing address
2639 STATE ROUTE 183, ATWATER, OH 44201-9580
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123606
OH
Other
Enumeration date
08/20/2018
Last updated
10/31/2018
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