National Provider Identifier

Kayleigh Mae Martin, PA

Kayleigh Mae Martin, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Elmira, NY and a listed phone number of (607) 737-4508.

NPI 1043557887Elmira, NYMedical Physician Assistant

Profile Overview

NPI
1043557887
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
January 14, 2013
Last Updated
May 15, 2018

Practice Location

  • 600 Roe Ave
  • Elmira, NY 14905-1629

Phone: (607) 737-4508

Mailing Address

  • 600 Roe Avenue
  • Emergency Department
  • Elmira, NY 14905-1676

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1043557887
Entity Type
Individual
Last Name
Martin
First Name
Kayleigh
Middle Name
Mae
Credential
PA
Mailing Street Address
600 Roe Avenue
Mailing Address Line 2
Emergency Department
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-1676
Mailing Country
US
Mailing Phone
(607) 737-4508
Mailing Fax
(607) 735-5738
Practice Street Address
600 Roe Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1629
Practice Country
US
Practice Phone
(607) 737-4508
Practice Fax
(607) 735-5738
Enumeration Date
January 14, 2013
Last Updated
May 15, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)