Martin, Kimberly
Martin, Kimberly is an sole proprietor health care provider with primary practice located at 705 E University Ave Ste B, Las Cruces NM 88001-5637. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Martin, Kimberly can be contacted via phone (505) 521-0127.Contact Information
Primary practice address
705 E University Ave Ste B
Las Cruces NM 88001-5637
Phone: (505) 521-0127
Fax: (505) 647-9533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD2317 | New Mexico |
Profile Details
| NPI number | 1649263039 |
|---|---|
| LBN Legal business name | Martin, Kimberly |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649263039 | NPPES |
| New Mexico | MEDICAID | 33070270 |
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