Individual
MR. KEVIN LEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 N JUSTICE ST, HENDERSONVILLE, NC 28791-3410
(828) 694-8350
(828) 694-7654
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01611
SC
207Q00000X
Family Medicine Physician
Primary
2019-01716
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019-01716
NCMB
NC
Enumeration date
04/09/2009
Last updated
09/04/2019
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