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1205398708
KELSEY MARTIN
MERIDIAN, ID
NPI
1205398708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 61011)
Enumeration Date
2019-04-03
Last Update Date
2019-08-08
Business Address
KELSEY MARTIN DNP, FNP-C
3280 E LANARK DR
MERIDIAN, ID 83642-5982
Phone number: 208-377-4400
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Mailing Address
KELSEY MARTIN DNP, FNP-C
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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