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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437489366 NPPES
Minnesota Other 374J00000X TAXONOMY CODE 374J00000X

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