Individual
KIMBERLY N MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(800) 468-8376
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(800) 468-8376
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP032939
PA
367A00000X
Advanced Practice Midwife
MW010576
PA
Other
Enumeration date
07/24/2020
Last updated
01/27/2026
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