Kelly Marie Martin, CPM, LM
Midwife in Elko, MN. Individual provider (NPI-1).
NPI number1437489366
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1437489366
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelly Marie Martin
- Credential
- CPM, LM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 25, 2009
- Certification date
- Jul 18, 2022
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 176B00000X | Midwife | 1092 | MN | Yes |
| 374J00000X | Doula | DOULA | MN |
Practice location
26674 Meadow Ridge DrElko, MN 55020-8535
Phone 952-461-2302
Mailing address
26674 Meadow Ridge DrElko, MN 55020-8535
Phone 952-461-2302
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