Individual
KEVIN J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CENTER FOR SPECIALIZED MEDICINE / MULTI-DISCIPLINARY CL, 1225 SOUTH GRAND BLVD, ST LOUIS, MO 63104
(314) 977-2650
(314) 771-0784
Mailing address
SLUCARE ACADEMIC PAVILION #2419, 1008 S. SPRING AVE, ST LOUIS, MO 63110
(314) 977-2650
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35906
MO
Other
Enumeration date
08/10/2006
Last updated
01/13/2021
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