Martin, Kirk

Martin, Kirk is an individual health care provider with primary practice located at 13670 Walsingham Rd , Largo FL 33774-3532. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Martin, Kirk can be contacted via phone (727) 593-9848.

Contact Information

Primary practice address
13670 Walsingham Rd Largo FL 33774-3532
Phone: (727) 593-9848
Fax: (727) 596-4532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102188 Florida

Profile Details

NPI number 1184648230
LBN Legal business name Martin, Kirk
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 5th, 2017 - about 9 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 1184648230 NPPES
Florida MEDICAID 017543900

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