Most Relevant Information
Provider Data
| NPI Number: | 1003444241 |
| Provider Name: | KELSEY LYNN MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2020 |
| Last Updated: | 06/09/2021 |
Provider Practice Location
3333 BURNET AVE
CINCINNATI
OH
452293039
Practice Location Phone/Fax
| Phone: | 4522930395 |
| Fax: |
Provider Mailing Location
3333 BURNET AVE
CINCINNATI
OH
452293026
Provider Mailing Phone/Fax
| Phone: | 5138035601 |
| Fax: |