Individual
KIMBER D MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3385
(207) 879-3989
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3385
(207) 879-3989
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R019045
ME
Other
Enumeration date
06/16/2006
Last updated
09/29/2009
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