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Individual

KENNETH FREDRICK MARTIN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
401 N BUFFALO DR STE 120, LAS VEGAS, NV 89145-0397
(702) 818-5000
Mailing address
401 N BUFFALO DR STE 120, LAS VEGAS, NV 89145-0397
(702) 818-5000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3960
NV

Other

Enumeration date
02/11/2019
Last updated
02/11/2019
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