Martin, Kenneth J.

Martin, Kenneth J. is an individual health care provider with primary practice located at 610 30Th Ave W , Alexandria MN 56308-3426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Martin, Kenneth J. can be contacted via phone (320) 763-5123.

Contact Information

Primary practice address
610 30Th Ave W Alexandria MN 56308-3426
Phone: (320) 763-5123
Fax: (320) 763-7883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MT188409 Pennsylvania

Profile Details

NPI number 1669688057
LBN Legal business name Martin, Kenneth J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669688057 NPPES
Minnesota Other 109461 TEMP LICENSE
Minnesota Other 1669688057 TEMP LICENSE

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