DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. KENDRA KELLY MARTINEZ MD, IBCLC

MEDICARE: DR. KENDRA KELLY MARTINEZ MD, IBCLC
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
1208000000XPediatrics PhysicianU2261TX
2208000000XPediatrics Physician69028MN

General Provider Information

NPI Number : 1225525017
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENDRA KELLY MARTINEZ MD, IBCLC
Provider Business Mailing Address
First Line : 2450 RIVERSIDE AVE
Second Line : ACADEMIC OFFICE BUILDING, AO-401
City : MINNEAPOLIS
State : MN
Zip : 55454
Country : US
Telephone Number : 612-626-0644
Fax Number :
Provider Business Practice Location Address
First Line : 2450 RIVERSIDE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-1450
Country : US
Telephone Number : 612-626-0644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2018
Last Update Date : 06/27/2026

Similar Medicare Providers

1801537402 — DR. HAMZAH AHMAD DO
Practice Location Address:
2450 RIVERSIDE AVE
MINNEAPOLIS, MN
55454-1450
Practice Phone: 612-273-3000
Practice Fax:
1760010813 — WILLIAM LONG MD
Practice Location Address:
2450 RIVERSIDE AVE
MINNEAPOLIS, MN
55454-1450
Practice Phone: 612-365-1000
Practice Fax:
1083909733 — PAUL WRATKOWSKI DO
Practice Location Address:
2450 RIVERSIDE AVE , PEDIATRIC EDUCATION OFFICE M136 8950A
MINNEAPOLIS, MN
55454-1450
Practice Phone: 612-624-4477
Practice Fax:
1174494827 — FAIRVIEW SPECIALTY SERVICES
Practice Location Address:
2450 RIVERSIDE AVE
MINNEAPOLIS, MN
55454-1450
Practice Phone: 855-324-7843
Practice Fax:
1013994359 — FAIRVIEW HEALTH SERVICES
Practice Location Address:
2450 RIVERSIDE AVE
MINNEAPOLIS, MN
55454-1450
Practice Phone: 612-672-6000
Practice Fax: 612-273-4098
1982788634 — FAIRVIEW HEALTH SERVCIES
Practice Location Address:
2450 RIVERSIDE AVE
MINNEAPOLIS, MN
55454-1450
Practice Phone: 612-672-4200
Practice Fax: 612-672-4076

Directions to “ DR. KENDRA KELLY MARTINEZ MD, IBCLC” 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.