Individual
KATHRYN J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 668-3871
Mailing address
8593 E CREEK LN, HAYES, VA 23072-3748
(804) 684-5442
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
24166469
VA
Other
Enumeration date
08/04/2006
Last updated
08/21/2007
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