Kevin Samuel Martin, FNP
Nurse Practitioner, Family in Washington, DC. Individual provider (NPI-1).
NPI number1881978229
StatusActive
Last updated in NPPESDec 8, 2023
Details
- NPI
- 1881978229
- Entity type
- Individual (NPI-1)
- Name
- Kevin Samuel Martin
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2011
- Certification date
- Dec 8, 2023
- Last updated
- Dec 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 5005307 | NC | Yes |
| 363LF0000X | Nurse Practitioner, Family | 092767-23 | NH |
Practice location
1310 Southern Ave SeWashington, DC 20032-4623
Phone 252-933-0005
Mailing address
3710 University Dr Ste 330Durham, NC 27707-6204
Phone 252-933-0005
Other practice locations
580 Court St
Keene, NH 03431-1718
Keene, NH 03431-1718
Phone 603-354-5400
590 Court St
Keene, NH 03431-1719
Keene, NH 03431-1719
Phone 603-354-5400
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