Kellie Martin is a Detroit, Michigan based nurse anesthetist with 29 years of experience as Anesthesia Administration. She completed she graduation in 1996. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kellie Martin is 4704173942 for Anesthesia Administration in Michigan. Her current practice location is 22101 Moross, Detroit. Patients can reach her at 313-343-4766. Kellie Martin is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1629032636. Kellie Martin is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Kellie Martin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
29+ years
Medical School Attended:
Other
Graduation Year:
1996
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
22101 Moross, Detroit, Michigan, 48226
Phone:
313-343-4766
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2860458619
Enrollment ID:
I20041203000569
NPI Number:
1629032636
NPI Enumeration Date:
14 Apr, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kellie Martin are as mentioned below.
License Number
Specialization
State
Status
4704173942
Anesthesia Administration
Michigan
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kellie Martin has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ascension Macomb Oakland Hospital (7315859725)
129
Other Medical Identifiers:
Other legacy medical identifiers associated with Kellie Martin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
KM173942
Other
Michigan
BLUE CROSS OF MI
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
39086 Vassar, Sterling Heights, Michigan
Zip:
48313
Phone Number:
586-532-7074
Fax Number:
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Patients can reach Kellie Martin at 22101 Moross, Detroit, Michigan or can call to book an appointment on 313-343-4766.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.