KENYA N MARTIN CRNP NPI 1790071413

NPI Information

NPI: 1790071413
Provider Name: KENYA N MARTIN, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2804 SOUTHAMPTON RD
PHILADELPHIA, PA
ZIP 19154
Phone: (215) 677-0930
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Kenya N Martin, CRNP is a family nurse practitioner in Philadelphia, PA. Kenya N Martin, CRNP NPI is 1790071413. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2804 SOUTHAMPTON RD
PHILADELPHIA, PA
ZIP 19154-207
Phone: (215) 677-0930

The NPI 1790071413 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2011 and was last updated on 1/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	SP011228	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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