-- Kenneth J. Martin --
M.D. | Pediatrics | Male
-- Kenneth J. Martin --, M.D. is a Alexandria, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics. -- Kenneth J. Martin -- is also known as
Kenneth J. Martin.
Current practice location of -- Kenneth J. Martin -- is
610 30th Ave W, Alexandria, Minnesota - 56308-3426. He can be contacted on phone at
320-763-5123 and fax number 320-763-7883.
-- Kenneth J. Martin -- is a sole proprietor of his business.
NPI number (Unique professional ID) for -- Kenneth J. Martin -- is
1669688057 which was assigned by NPPES on 15 May, 2007 and it was last updated on 07 Mar, 2023.
-- Kenneth J. Martin -- license number is
MT188409 for Pediatrics (208000000X) in Pennsylvania.
-- Kenneth J. Martin -- is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
-- Kenneth J. Martin -- basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | -- Kenneth J. Martin -- |
|---|
| Other Name : | Kenneth J. Martin |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
-- Kenneth J. Martin -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 610 30th Ave W
Alexandria, MN, 56308-3426
United States |
|---|
| Phone Number : | 320-763-5123 |
|---|
| Fax Number : | 320-763-7883 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669688057 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 15 May, 2007 |
|---|
| Last Updated On : | 07 Mar, 2023 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for -- Kenneth J. Martin -- are as mentioned. Primary taxonomy code for -- Kenneth J. Martin --, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MT188409 | PA |
Legacy Identifiers:
Other legacy medical identifiers of -- Kenneth J. Martin -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 109461 | Other (non-Medicare) | MN | TEMP License |
| 1669688057 | Other (non-Medicare) | MN | NPI |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 610 30th Ave W
Alexandria, MN, 56308-3426
United States |
|---|
| Phone Number : | 320-763-5123 |
|---|
| Fax Number : | 320-763-7883 |
|---|
Business Location:
Patients can refer following map for directions to
-- Kenneth J. Martin -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.