Martinez, Kenneth J

Martinez, Kenneth J is an individual health care provider with primary practice located at 1020 S Main St , Salt Lake City UT 84101-3176. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Martinez, Kenneth J can be contacted via phone (801) 539-7000.

Contact Information

Primary practice address
1020 S Main St Salt Lake City UT 84101-3176
Phone: (801) 539-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1406413501 Utah

Profile Details

NPI number 1164492583
LBN Legal business name Martinez, Kenneth J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated May 10th, 2022 - about 4 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 1164492583 NPPES
Utah Other 942938348MA2 EDUCATORS MUTUAL
Utah Other R79728 EDUCATORS MUTUAL
Utah Other 107001385101 EDUCATORS MUTUAL
Utah Other 261919 EDUCATORS MUTUAL
Utah Other 942938348 EDUCATORS MUTUAL
Utah Other X EDUCATORS MUTUAL
Utah Other 003104013 EDUCATORS MUTUAL

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