Martin, Kenneth Andrew

Martin, Kenneth Andrew is an individual health care provider with primary practice located at 5320 W. Markham , Little Rock AR 72205. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Martin, Kenneth Andrew can be contacted via phone (501) 975-5633.

Contact Information

Primary practice address
5320 W. Markham Little Rock AR 72205
Phone: (501) 975-5633
Fax: (501) 227-0710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X C5425 Arkansas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X C5425 Arkansas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X C5425 Arkansas

Profile Details

NPI number 1699730689
LBN Legal business name Martin, Kenneth Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Aug 19th, 2019 - about 6 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 1699730689 NPPES
Arkansas MEDICAID 105268001

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