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Kenneth Martin

NPI 1578122065 · on the registry since 2019

Practice

Address
700 Scott And White Dr # 1.112
College Station, TX 77845
Phone
(979) 207-0120
Fax
(979) 207-0128

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas