Individual
KATELYN MARTIN ALIVIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2673 DAVISSON RUN RD, CLARKSBURG, WV 26301-6838
(681) 342-3200
Mailing address
17 POST OFFICE DR, LOST CREEK, WV 26385-7505
(304) 476-2319
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
85781
WV
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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