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Individual

DR. KENT S MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
426 COX BLVD, SHEFFIELD, AL 35660-4000
(256) 389-1990
(256) 389-1920
Mailing address
426 COX BLVD, SHEFFIELD, AL 35660-4000
(256) 389-1990
(256) 389-1920

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
169
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51078987
BLUE CROSS/BLUE SHIELD AL
AL
Enumeration date
09/06/2006
Last updated
05/21/2010
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