Individual
KEVIN THOMAS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 PARNASSUS AVE FL 4, SAN FRANCISCO, CA 94143-2206
(415) 514-7952
Mailing address
22 S GREENE ST RM N3E09, BALTIMORE, MD 21201-1544
(410) 328-6110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A189113
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2022
Last updated
04/13/2026
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