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NPI Code Detail

MEDICARE: KRISTIN ELAINE MARTIN

MEDICARE:   KRISTIN ELAINE MARTIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP.13327OH

General Provider Information

NPI Number : 1417421272
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN ELAINE MARTIN
Provider Business Mailing Address
First Line : PO BOX 176
Second Line :
City : PAULDING
State : OH
Zip : 45879-0176
Country : US
Telephone Number : 419-399-4711
Fax Number :
Provider Business Practice Location Address
First Line : 813 N FRANKLIN ST
Second Line :
City : VAN WERT
State : OH
Zip : 45891-1303
Country : US
Telephone Number : 419-238-4019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2019
Last Update Date : 02/13/2019

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Directions to “ KRISTIN ELAINE MARTIN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.