Kelly Martin

Registered Dietitian · Kent, WA

Individual Active NPI

NPI number 1336580109

Practice location

6642 S 193rd Pl Ste N106
Kent, WA 98032-3109
Phone
(206) 486-4867

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NPI record

NPI
1336580109
Entity type
Individual (Type 1)
Enumeration date
July 9, 2013
Last updated
August 11, 2026
Certified
August 11, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X — —
Registered Dietitian 133V00000X 5616 MN

Mailing address

PO Box 22881
Seattle, WA 98122-0881
Phone
(206) 486-4867
Fax
(206) 743-0948

Other practice locations (1)

  • 3525 Monterey Dr, St Louis Park, MN 55416-5275 · (952) 993-6200

About Kelly Martin

Kelly Martin is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 6642 S 193rd Pl Ste N106, Kent, WA 98032-3109. The NPI number 1336580109 was assigned on July 9, 2013 and the record was last updated on August 11, 2026.

Kelly Martin lists a license in the registry: #5616 (MN) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelly Martin?

The NPI number is 1336580109.

What is the phone number of Kelly Martin?

The phone number listed for the practice location is (206) 486-4867.

Where is Kelly Martin located?

6642 S 193rd Pl Ste N106, Kent, WA 98032-3109.

What is the taxonomy code for Kelly Martin?

The primary taxonomy code is 133V00000X – Registered Dietitian; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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