Organization
MARTIN KNEE AND SPORTS MEDICINE CENTER, PA
Active
Other names
Martin Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ANDREW MARTIN MD (OWNER)
(501) 227-9994
Entity
Organization
Contact information
Practice address
5320 W. MARKHAM, LITTLE ROCK, AR 72205
(501) 975-5633
(501) 227-0710
Mailing address
5320 W. MARKHAM, LITTLE ROCK, AR 72205
(501) 975-5633
(501) 227-0710
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178668002
—
AR
Enumeration date
01/12/2009
Last updated
12/28/2016
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