Individual
KERRY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1964 MAIN ST N, WOODBURY, CT 06798-1809
(860) 245-8525
Mailing address
PO BOX 316, WATERTOWN, CT 06795-0316
(860) 245-8525
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
172022
CT
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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