Martin, Kevin

Martin, Kevin is an sole proprietor health care provider with primary practice located at 30 Crescent Ave , Saratoga Springs NY 12866-5142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Martin, Kevin can be contacted via phone (518) 584-3600.

Contact Information

Primary practice address
30 Crescent Ave Saratoga Springs NY 12866-5142
Phone: (518) 584-3600
Fax: (518) 584-3235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 219540 New York

Profile Details

NPI number 1750488862
LBN Legal business name Martin, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 9th, 2007 - about 17 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 1750488862 NPPES
New York MEDICAID 01047290

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