Martin, Kelly Marie
Martin, Kelly Marie is an sole proprietor health care provider with primary practice located at 26674 Meadow Ridge Dr , Elko MN 55020-8535. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Doula, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Martin, Kelly Marie can be contacted via phone (952) 461-2302.Contact Information
Primary practice address
26674 Meadow Ridge Dr
Elko MN 55020-8535
Phone: (952) 461-2302
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Doula | 374J00000X | DOULA | Minnesota |
Other Service Providers / Midwife | 176B00000X | 1092 | Minnesota |
Profile Details
NPI number | 1437489366 |
---|---|
LBN Legal business name | Martin, Kelly Marie |
Credentials | CPM, LM |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 25th, 2009 |
Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437489366 | NPPES |
Minnesota | Other | 374J00000X | TAXONOMY CODE 374J00000X |
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