MEDICARE: KENYA N MARTIN CRNP

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
1	363LF0000X	Family Nurse Practitioner	SP011228	PA

General Provider Information

NPI Number	:	1790071413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENYA N MARTIN CRNP

Provider Business Mailing Address
First Line	:	2804 SOUTHAMPTON RD
Second Line	:	CONCENTRA
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-1207
Country	:	US
Telephone Number	:	215-677-0930
Fax Number	:

Provider Business Practice Location Address
First Line	:	2804 SOUTHAMPTON RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-1207
Country	:	US
Telephone Number	:	215-677-0930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2011
Last Update Date	:	01/20/2017

Similar Medicare Providers

1801063714 — DR. THADDEUS RITCH DE HERRERA M.D.
Practice Location Address:

2804 SOUTHAMPTON RD
PHILADELPHIA, PA
19154-1207

Practice Phone: 215-677-0930
Practice Fax: 215-677-3266

1346595808 — HOLLIS DEL CAMPO DPT
Practice Location Address:

2804 SOUTHAMPTON RD
PHILADELPHIA, PA
19154-1207

Practice Phone: 156-770-9302
Practice Fax:

1609320381 — AMERICAN CURRENT CARE PA
Practice Location Address:

2804 SOUTHAMPTON RD
PHILADELPHIA, PA
19154-1207

Practice Phone: 215-677-0930
Practice Fax: 214-775-4502

1629522305 — OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A. (PA)
Practice Location Address:

2804 SOUTHAMPTON RD
PHILADELPHIA, PA
19154-1207

Practice Phone: 215-677-0930
Practice Fax: 214-775-4502

1053842427 — DR. KYLE NAYLOR D.C.
Practice Location Address:

2808 SOUTHAMPTON RD
PHILADELPHIA, PA
19154-1207

Practice Phone: 215-637-1212
Practice Fax:

1306473707 — DR. BRIAN MICHAEL MITCHELL DC
Practice Location Address:

2808 SOUTHAMPTON RD
PHILADELPHIA, PA
19154-1207

Practice Phone: 215-637-1212
Practice Fax:

Directions to “ KENYA N MARTIN CRNP” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.