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NPI Code Detail

MEDICARE: KIMBERLY N MARTINO RN

MEDICARE:   KIMBERLY N MARTINO  RN
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
1367A00000XAdvanced Practice MidwifeMW010576PA
2363LW0102XWomen's Health Nurse PractitionerSP032939PA

General Provider Information

NPI Number : 1568071678
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY N MARTINO RN
Provider Business Mailing Address
First Line : 3401 CIVIC CENTER BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4319
Country : US
Telephone Number : 800-468-8376
Fax Number :
Provider Business Practice Location Address
First Line : 3401 CIVIC CENTER BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4319
Country : US
Telephone Number : 800-468-8376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2020
Last Update Date : 01/27/2026

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Directions to “ KIMBERLY N MARTINO RN” Practice Location

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