Individual
KEVIN C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3714 GUARDIAN AVE STE E, MOREHEAD CITY, NC 28557-4322
(252) 247-2101
(252) 247-4675
Mailing address
3714 GUARDIAN AVE STE E, MOREHEAD CITY, NC 28557-4322
(252) 247-2101
(252) 247-4675
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
101545
NC
Other
Enumeration date
09/20/2006
Last updated
12/16/2015
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