Barry, Kendra Kathleen Martin
Barry, Kendra Kathleen Martin is an individual health care provider with primary practice located at 2821 Maplewood Ave , Winston Salem NC 27103-4137. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Barry, Kendra Kathleen Martin can be contacted via phone (336) 718-3960.Contact Information
Primary practice address
2821 Maplewood Ave
Winston Salem NC 27103-4137
Phone: (336) 718-3960
Fax: (336) 718-3998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2011-00178 | North Carolina |
Profile Details
| NPI number | 1952575565 |
|---|---|
| LBN Legal business name | Barry, Kendra Kathleen Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2008 |
| Last updated | Oct 29th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952575565 | NPPES |
| North Carolina | MEDICAID | 5918090 |
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