Individual
KELLY MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1904 MOODY RD, VIRGINIA BEACH, VA 23455-3134
(484) 639-1925
Mailing address
1442 GRAND OAK LN, WEST CHESTER, PA 19380-5944
(484) 639-1925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024195281
VA
Other
Enumeration date
11/05/2025
Last updated
01/06/2026
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