Kelly Martin
Pediatric Critical Care Doctor
34th Street And Civic Center Boulevard Suite 7c26
Philadelphia
, Pennsylvania 19104
Kelly Martin
Pediatric Critical Care Doctor
34th Street And Civic Center Boulevard Suite 7c26
Philadelphia
, Pennsylvania 19104
(215) 590-7430
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Kelly Martin
- 34th Street And Civic Center Boulevard Suite 7c26
- Philadelphia, PA
- Zip : 19104
- Phone : (215) 590-7430
Second Address
- Kelly Martin
- 34th Street And Civic Center Boulevard Suite 7c26
- Philadelphia, PA
- Zip : 19104
- Phone : (215) 590-7430
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | MT201919 | PA |
National Provider Identifier
| NPI | 1174767065 |
|---|---|
| Provider Name | Kelly Martin |
| First Address | Philadelphia, PA 19104 |
| Second Address | Philadelphia, PA 19104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2009 |
| Last Update Date | 10/07/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.