Most Relevant Information
Provider Data
| NPI Number: | 1003688151 |
| Provider Name: | KRISTI MARTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 186926 |
Most Important Dates
| Enumeration Date: | 10/23/2023 |
| Last Updated: | 10/23/2023 |
Provider Practice Location
1 ELIZABETH PL
DAYTON
OH
454173445
Practice Location Phone/Fax
| Phone: | 9378131737 |
| Fax: |
Provider Mailing Location
3146 PATSIE DR
BEAVERCREEK
OH
454346032
Provider Mailing Phone/Fax
| Phone: | 8105131141 |
| Fax: |