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Contact Information

KEVIN J MARTIN, MD
CENTER FOR SPECIALIZED MEDICINE / MULTI-DISCIPLINARY CL
1225 SOUTH GRAND BLVD
SAINT LOUIS, MO63104
 Phone: 314-977-2650
 Fax: 314-771-0784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KEVIN J MARTIN · (Male)

NPI # 1235140864
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2006
Last updated 01/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 35906
Hospital affiliation(s)
  • ST LOUIS UNIVERSITY HOSPITAL - (Acute Care)
    3635 VISTA AVE
    SAINT LOUIS, MO 63110
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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