Dr. Kelsey Martin
Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).
NPI number1194457523
StatusActive
Last updated in NPPESJan 30, 2026
Details
- NPI
- 1194457523
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelsey Martin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2022
- Certification date
- Jan 30, 2026
- Last updated
- Jan 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
111 S 11th StPhiladelphia, PA 19107-4870
Phone 215-955-6000
Mailing address
111 S 11th StPhiladelphia, PA 19107-4870
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