Kenneth Andrew Martin in Little Rock - Adult Reconstructive Orthopaedic Surgery

Kenneth Andrew Martin - NPI 1699730689

Kenneth Andrew Martin is a Adult Reconstructive Orthopaedic Surgery in Little Rock, Arkansas. Kenneth Andrew Martin practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Kenneth Andrew Martin is 1699730689. The last update date is 2019-08-19.

Kenneth Andrew Martin's current location address is 5320 W. Markham, Little Rock, Arkansas. You can contact this provider via phone number 5019755633 and fax number 5012270710. The mailing address for Kenneth Andrew Martin is 5320 W. Markham, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Andrew Martin
Address 5320 W. Markham, Little Rock, Arkansas
Phone Number 5019755633
Fax Number 5012270710
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1699730689
Provider Enumeration Date 2006-04-20
Last Updated Date 2019-08-19

Provider Mailing Address Detail

Address 5320 W. Markham
City Little Rock
State Arkansas (AR)
Post Code 72205
Phone Number 5019755633
Fax Number 5012270710

Provider's Primary Taxonomy Detail

Speciality Adult Reconstructive Orthopaedic Surgery
Taxonomy 207Xs0114X
Licence No C5425
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
105268001 AR --

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FAQs about Kenneth Andrew Martin

What is the Kenneth Andrew Martin's unique identification number?

The Kenneth Andrew Martin has been assigned the NPI (National Provider Identifier) Number 1699730689 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Kenneth Andrew Martin's facilities are geographically located?

The facilities of Kenneth Andrew Martin are physically situated at the following location: 5320 W. Markham, Little Rock, AR, 72205.

What is Kenneth Andrew Martin's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth Andrew Martin's area of specialization is Adult Reconstructive Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Xs0114X.

On what date did the Centers for Medicare & Medicaid Services assign the 1699730689 to Kenneth Andrew Martin?

The Centers for Medicare & Medicaid Services assigned the 1699730689 to Kenneth Andrew Martin on 2006-04-20.

As of what date were the details pertaining to Kenneth Andrew Martin last refreshed?

The information related to the Kenneth Andrew Martin, including its address, specialty, and other relevant details, was last updated on 2019-08-19.

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