Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY RAE MARTIN
Active Sole ProprietorKELLY RAE MARTIN is a Emotionally Disturbed Children Residential Treatment healthcare provider located in MILTONA, Minnesota. NPI 1477117885 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · MILTONA, MN
Registration Details
- NPI Number
- 1477117885
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2019 (7.304147359622 yrs)
- Last Updated
- May 1, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
13881 SCHUELKE BEACH RD NWMILTONA, MN, 56354Browse MN providers · Browse ZIP 56354
- Phone
- 2186391843
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.