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Kelly Ann Martic, NP

Nurse Practitioner, Family in Midlothian, VA. Individual provider (NPI-1).

NPI number1164068250
StatusActive
Last updated in NPPESAug 12, 2024

Details

NPI
1164068250
Entity type
Individual (NPI-1)
Name
Kelly Ann Martic
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 23, 2019
Certification date
Aug 12, 2024
Last updated
Aug 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family0024178186VAYes

Practice location

13551 Waterford Pl
Midlothian, VA 23112-3929

Phone 804-320-4243 · Fax 804-622-0552

Mailing address

1000 Boulders Pkwy Ste 102
North Chesterfield, VA 23225-5515

Phone 804-320-4243 · Fax 804-622-0552

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