Individual
KIM MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-7328
(419) 696-5001
Mailing address
209 VAN BUREN AVE, TOLEDO, OH 43605-1925
(419) 693-0246
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.18563-NP
OH
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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