Martinez, Kellie Davis

Martinez, Kellie Davis is an individual health care provider with primary practice located at 9900 Bren Rd E , Minnetonka MN 55343-9664. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Martinez, Kellie Davis can be contacted via phone (828) 855-8466.

Contact Information

Primary practice address
9900 Bren Rd E Minnetonka MN 55343-9664
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0050-02519 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9700726 North Carolina

Profile Details

NPI number 1740327329
LBN Legal business name Martinez, Kellie Davis
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jun 26th, 2020 - about 4 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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