Individual
MRS. KELLI KAY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7162
Mailing address
6708 FLETA CT, TYLER, TX 75703-4606
(325) 203-0522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP137538
TX
Other
Enumeration date
07/25/2018
Last updated
08/11/2025
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