Martin, Kenneth Michael

Martin, Kenneth Michael is an individual health care provider with primary practice located at 2700 Lake Villa Dr Ste 100 , Metairie LA 70002-6782. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Martin, Kenneth Michael can be contacted via phone (504) 888-7333.

Contact Information

Primary practice address
2700 Lake Villa Dr Ste 100 Metairie LA 70002-6782
Phone: (504) 888-7333
Fax: (504) 888-1052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT01637 Louisiana

Profile Details

NPI number 1154475952
LBN Legal business name Martin, Kenneth Michael
Credentials PT MT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Apr 25th, 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 1154475952 NPPES
Other 52918 BLUE CROSS

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