Martin, Kenneth

Martin, Kenneth is an sole proprietor health care provider with primary practice located at 1811 West Govt St , Brandon MS 39042-2106. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Martin, Kenneth can be contacted via phone (601) 828-3773.

Contact Information

Primary practice address
1811 West Govt St Brandon MS 39042-2106
Phone: (601) 828-3773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X E-7098 Mississippi

Profile Details

NPI number 1467085274
LBN Legal business name Martin, Kenneth
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2020
Last updated Feb 20th, 2020 - about 4 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 1467085274 NPPES
Mississippi Other E-7098 MS BOARD OF PHARMACY

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