Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MARTIN, BS, MS
ActiveNutrition, Education · LUSBY, MD
Registration Details
- NPI Number
- 1962014530
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2020 (5.7178979358619 yrs)
- Last Updated
- Aug 17, 2020
Practice Information
- Address
-
225 TOWN SQUARE DRLUSBY, MD, 206576534Browse MD providers · Browse ZIP 20657
- Phone
- 6109527881
- Primary Specialty
-
Nutrition, Education
133NN1002X
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.