Martin, Kevin Blaine

Martin, Kevin Blaine is an individual health care provider with primary practice located at 202 N Division St Ste. 405, Plaza 2, Auburn WA 98001-4939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, Kevin Blaine can be contacted via phone (253) 939-3604.

Contact Information

Primary practice address
202 N Division St Ste. 405, Plaza 2 Auburn WA 98001-4939
Phone: (253) 939-3604
Fax: (253) 735-4167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00036217 Washington

Profile Details

NPI number 1457395881
LBN Legal business name Martin, Kevin Blaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Apr 22nd, 2008 - about 16 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 1457395881 NPPES
Washington MEDICAID 8227241
Washington Other 080129013

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