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Search › Michigan › 367500000X

Kellie Martin, CRNA

NPI 1629032636 · on the registry since 2006

Practice

Address
22101 Moross
Detroit, MI 48226
Phone
(313) 343-4766
Organisation at this address
Maha Mediplex Pllc
Henry Ford Health St. John Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan