Individual
KRISTIN KING MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1024 E ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4263
(225) 765-5500
(225) 644-2822
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5500
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
677299
TX
363LF0000X
Family Nurse Practitioner
Primary
AP05592
LA
363LF0000X
Family Nurse Practitioner
RN068268
LA
Other
Enumeration date
11/17/2008
Last updated
03/23/2023
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