Martins, Kenneth

Martins, Kenneth is an individual health care provider with primary practice located at 302 S 2Nd St , Mankato MN 56001-3605. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Martins, Kenneth can be contacted via phone (507) 388-8114.

Contact Information

Primary practice address
302 S 2Nd St Mankato MN 56001-3605
Phone: (507) 388-8114
Fax: (507) 388-8068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X LP2702 Minnesota

Profile Details

NPI number 1326148594
LBN Legal business name Martins, Kenneth
Credentials LP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 9th, 2007 - about 18 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 1326148594 NPPES
Minnesota MEDICAID 136327
Minnesota Other 30407-01
Minnesota Other HP42906
Minnesota Other 473T4MA

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