National Provider Identifier Database

KENNETH J MARTIN, DPM – NPI #1285626804
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

KENNETH J MARTIN, DPM
7331 BRENTWOOD RD
PHILADELPHIA, PA19151
Phone: 215-877-2555
Fax: 215-877-0240
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for KENNETH J MARTIN

NPI Number 1285626804
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/19/2005
Last updated 01/26/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • PA License #: SC002881L
  • PA Medicaid: 0010465050004
  • PA Other: 0104650501 AMERICHOICE OF PA
  • PA Other: 175404 BC BS OF PA
  • PA Other: 1480 BRAVO ELDERHEALTH
  • PA Other: 11940 HEALTH PARTNERS PA
  • PA Other: 0060738000 IBC
  • PA Other: 31875 KEYSTONE MERCY HEALTH PLA
Hospital affiliation n/a

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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