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KELLY RAE MARTIN
NPI 1477117885
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Miltona, MN

Active since May 01, 2019
13881 SCHUELKE BEACH RD NW, MILTONA, MN 56354(218) 639-1843 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelly Rae Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY RAE MARTIN (NPI 1477117885) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Miltona, Minnesota and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1477117885
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameKELLY RAE MARTIN
Location Address13881 SCHUELKE BEACH RD NWMiltona, MN 56354
Mailing Address13881 Schuelke Beach Rd NwMiltona, MN 56354-8300 · (218) 639-1843
Phone(218) 639-1843
Sole ProprietorYes
Enumeration DateMay 1, 2019
✔ NPI 1477117885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
13881 SCHUELKE BEACH RD NW, Miltona, MN 56354
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Martin's NPI number?

The NPI number for Kelly Martin is 1477117885. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Kelly Martin located?

Kelly Martin practices at 13881 Schuelke Beach Rd NW, Miltona, MN 56354. The listed phone number is (218) 639-1843.

What is Kelly Martin's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Kelly Martin was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.