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Contact Information

KENNETH J MARTIN, DPM
7331 BRENTWOOD RD
PHILADELPHIA, PA19151
 Phone: 215-877-2555
 Fax: 215-877-0240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

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

NPI # 1285626804
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/19/2005
Last updated 01/26/2015 - About 11 years ago
Sole proprietor 1 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(s)
  • KENSINGTON HOSPITAL - (Acute Care)
    136 W DIAMOND STREET
    PHILADELPHIA, PA 19122
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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