Kenneth J. Martin in Alexandria - Pediatrics
Kenneth J. Martin - NPI 1669688057
Kenneth J. Martin is a Pediatrics in Alexandria, Minnesota. Kenneth J. Martin practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kenneth J. Martin is 1669688057. The last update date is 2023-03-07.
Kenneth J. Martin's current location address is 610 30th Ave W, Alexandria, Minnesota. You can contact this provider via phone number 3207635123 and fax number 3207637883. The mailing address for Kenneth J. Martin is 610 30th Ave W, Alexandria, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth J. Martin |
|---|---|
| Address | 610 30th Ave W, Alexandria, Minnesota |
| Phone Number | 3207635123 |
| Fax Number | 3207637883 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669688057 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 610 30th Ave W |
|---|---|
| City | Alexandria |
| State | Minnesota (MN) |
| Post Code | 563083426 |
| Phone Number | 3207635123 |
| Fax Number | 3207637883 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MT188409 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 109461 | MN | TEMP LICENSE | |
| 1669688057 | MN | NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenneth J. Martin by the Centers for Medicare & Medicaid Services?
The Kenneth J. Martin has been assigned the NPI (National Provider Identifier) 1669688057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Kenneth J. Martin is physically located?
The Kenneth J. Martin is physically situated at the following address: 610 30Th Ave W, Alexandria, MN, 563083426.
What is the Kenneth J. Martin's area of specialization and corresponding taxonomy classification?
The Kenneth J. Martin's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date was the 1669688057 assigned to Kenneth J. Martin?
The Kenneth J. Martin was issued its 1669688057 on 2007-05-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kenneth J. Martin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth J. Martin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC