Individual
MS. KELLY C. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1458 HORIZON BLVD STE 150, MOUNT PLEASANT, WI 53406-5790
(262) 632-1100
Mailing address
1458 HORIZON BLVD STE 150, MOUNT PLEASANT, WI 53406-5790
(262) 632-1100
(262) 632-1101
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
348033
WI
Other
Enumeration date
09/03/2008
Last updated
07/24/2025
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