Individual
KENNETH W MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
70 DUBOIS STREET, MID-HUDSON ANESTHESIOLOGISTS, PC, NEWBURGH, NY 12550
(845) 561-4400
(308) 254-7258
Mailing address
2 CATHARINE STREET, MID-HUDSON ANESTHESIOLOGISTS, PC, POUGHKEEPSIE, NY 12601
(845) 790-2661
(845) 790-2675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024168356
VA
367500000X
Certified Registered Nurse Anesthetist
101194
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
70552
NY
Other
Enumeration date
06/23/2009
Last updated
03/09/2020
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