KENNETH WADE MARTIN MD
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1265471338- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 160 E ERIE AVE, PHILADELPHIA, PA, 191341011
- Phone
- (215) 427-5234
Specialties & Taxonomies
Unknown
License: PA #MD479412
Radiology, Diagnostic Radiology
License: CA #G59973
Radiology, Diagnostic Radiology
Primary License: PA #MD479412