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NPI Code Detail

MEDICARE: KAMERON MARTIN

MEDICARE: KAMERON 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1578398343
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMERON MARTIN
Provider Business Mailing Address
First Line : 257 GRETAS WAY # 100
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-3811
Country : US
Telephone Number : 704-780-4271
Fax Number :
Provider Business Practice Location Address
First Line : 257 GRETAS WAY # 100
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-3811
Country : US
Telephone Number : 704-780-4271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2024
Last Update Date : 09/03/2024

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Directions to “ KAMERON 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.

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