Individual
DR. KELLY A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
600 E VETERANS DR STE A, COOKEVILLE, TN 38501-4038
(931) 372-1994
Mailing address
600 E VETERANS DR STE A, COOKEVILLE, TN 38501-4038
(931) 372-1994
(931) 684-8562
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2504
TN
Other
Enumeration date
06/27/2006
Last updated
04/05/2024
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