Martin, Kathleen Ann

Martin, Kathleen Ann is an individual health care provider with primary practice located at 1 Medical Center Dr Dept Of Cardiology, Lebanon NH 03756-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Martin, Kathleen Ann can be contacted via phone (603) 650-7756.

Contact Information

Primary practice address
1 Medical Center Dr Dept Of Cardiology Lebanon NH 03756-1000
Fax: (603) 650-5267
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 052389-23-12 New Hampshire

Profile Details

NPI number 1639123763
LBN Legal business name Martin, Kathleen Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Nov 22nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639123763 NPPES
Vermont MEDICAID 1010118
Vermont MEDICAID 30342522

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