# MARTIN KNEE AND SPORTS MEDICINE CENTER, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Martin Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740427830
- **Authorized official:** DR. KENNETH ANDREW MARTIN MD (OWNER)
- **Authorized official phone:** (501) 227-9994

## Contact information

- **Practice address:** 5320 W. MARKHAM, LITTLE ROCK, AR 72205
- **Practice address phone:** (501) 975-5633
- **Practice address fax:** (501) 227-0710
- **Mailing address:** 5320 W. MARKHAM, LITTLE ROCK, AR 72205
- **Mailing address phone:** (501) 975-5633
- **Mailing address fax:** (501) 227-0710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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

- **Enumeration date:** 01/12/2009
- **Last updated:** 12/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 178668002 | — | AR |