Individual
KELLY MARTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1150 STATE HIGHWAY 248 STE 200, BRANSON, MO 65616-4186
(417) 336-4112
(417) 335-4684
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2014023983
MO
Other
Enumeration date
03/26/2007
Last updated
02/22/2024
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