| Dr Kelly Kathleen Martin, MD | |
| 4011 Talbot Rd S, Suite 430, Renton, WA 98055-5773 | |
| (425) 656-2496 | |
| (425) 572-6150 | 
| Full Name | Dr Kelly Kathleen Martin | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology | 
| Location | 4011 Talbot Rd S, Renton, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821007428 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD00047546 (Washington) | Primary | 
| Entity Name | Valley Medical Group-renton | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 | 
| Entity Name | Obhg Washington Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962729525 PECOS PAC ID: 0345364642 Enrollment ID: O20100823001087 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kelly Kathleen Martin, MD 1410 Sw 137th St, Burien, WA 98166-1051 Ph: (206) 473-7415 | Dr Kelly Kathleen Martin, MD 4011 Talbot Rd S, Suite 430, Renton, WA 98055-5773 Ph: (425) 656-2496 | 
| Michele K Nelsen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14410 Se Petrovitsky Rd Ste 104, Renton, WA 98058 Phone: 256-903-4054 Fax: 425-690-9405 | |
| Kathleen J Hanlon, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4011 Talbot Rd S Ste 430, Renton, WA 98055 Phone: 425-251-3454 | |
| Dennis Foster Brown, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1412 Sw 43rd St, Suite 200, Renton, WA 98055 Phone: 425-271-4910 Fax: 425-264-1041 | |
| Glynnis M Morton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-228-3440 Fax: 425-656-5565 | |
| Dr. Kristine Michelle King, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4033 Talbot Rd S Ste 470, Renton, WA 98055 Phone: 425-656-5062 Fax: 425-656-4032 | |
| Ron Edward Swensen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4033 Talbot Rd S, Ste 430, Renton, WA 98055 Phone: 425-656-4110 Fax: 425-656-4112 | |
| Lori D Channell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 916 N 10th Pl Spc B, Renton, WA 98057 Phone: 425-391-5770 Fax: 425-391-5771 |