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Organization
MARTIN KNEE AND SPORTS MEDICINE CENTER, PA
Active
Organization
MARTIN KNEE AND SPORTS MEDICINE CENTER, PA
Active
Other names
Martin Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ANDREW MARTIN MD (OWNER)
(501) 227-9994
Entity
Organization
Contact information
Practice address
5320 W. MARKHAM, LITTLE ROCK, AR 72205
(501) 975-5633
(501) 227-0710
Mailing address
5320 W. MARKHAM, LITTLE ROCK, AR 72205
(501) 975-5633
(501) 227-0710
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
NULL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178668002
—
AR
Enumeration date
01/12/2009
Last updated
12/28/2016
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