National Provider Identifier
Kyle Martin
Kyle Martin is listed in the NPPES registry with a primary specialty of Student In An Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-5830.
Profile Overview
- NPI
- 1659953800
- Provider Type
- Individual
- Primary Specialty
- Student In An Organized Health Care Education/Training Program
- Enumeration Date
- April 27, 2021
- Last Updated
- April 27, 2021
Practice Location
- 110 Crittenden Blvd
- Rochester, NY 14620
Phone: (585) 275-5830
Mailing Address
- 158 Shelbourne RD
- Rochester, NY 14620-4531
Specialties
- Student In An Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1659953800
- Entity Type
- Individual
- Last Name
- Martin
- First Name
- Kyle
- Mailing Street Address
- 158 Shelbourne RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4531
- Mailing Country
- US
- Mailing Phone
- (240) 356-7259
- Practice Street Address
- 110 Crittenden Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620
- Practice Country
- US
- Practice Phone
- (585) 275-5830
- Enumeration Date
- April 27, 2021
- Last Updated
- April 27, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 27, 2021
- Taxonomies
- Student In An Organized Health Care Education/Training Program (390200000X)