NPI 1174392179

Keturah Martin

Practitioner Chore Provider Mobile, AL

Practice location

Address: 5619 Diane Dr, Mobile, AL 36618-2808
Phone: (251) 648-7675

Registered specialties

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X Licence 0 (AL)

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Registry record

NPI: 1174392179
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jan 2024
Record last updated: 1 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.