Martin, Kym Erin

Martin, Kym Erin is an individual health care provider with primary practice located at 15526 N 164Th Ln , Surprise AZ 85388-1107. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Martin, Kym Erin can be contacted via phone (623) 229-8574.

Contact Information

Primary practice address
15526 N 164Th Ln Surprise AZ 85388-1107
Phone: (623) 229-8574
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP4166 Arizona

Profile Details

NPI number 1104964832
LBN Legal business name Martin, Kym Erin
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Mar 2nd, 2009 - about 17 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 1104964832 NPPES
Arizona MEDICAID 643040

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