KRISTIN MARTIN PA-C NPI 1962093344

NPI Information

NPI: 1962093344
Provider Name: KRISTIN MARTIN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3500 S LAFOUNTAIN ST
KOKOMO, IN
ZIP 46902
Phone: (765) 776-3020
Get Directions

Kristin Martin, PA-C is a medical physician assistant in Kokomo, IN. Kristin Martin, PA-C NPI is 1962093344. 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:

3500 S LAFOUNTAIN ST
KOKOMO, IN
ZIP 46902-803
Phone: (765) 776-3020

The NPI 1962093344 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/28/2021 and was last updated on 7/21/2021.

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	363A00000X	Physician Assistant		10003176A	INDIANA	No
2	363AM0700X	Physician Assistant	Medical	10003176A	INDIANA	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: 5/5/2024

NPI Synchronization or Removal

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