MR. KEVIN MICHAEL MARTINEZ
NPI 1497386056
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since January 31, 2020
4201 HENRY AVE, PHILADELPHIA, PA 19144(215) 951-2700 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kevin Michael Martinez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN MICHAEL MARTINEZ (NPI 1497386056) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1497386056
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. KEVIN MICHAEL MARTINEZ
Location Address4201 HENRY AVEPhiladelphia, PA 19144-5409
Mailing Address98 Oak St Apt 3108Lindenwold, NJ 08021-2451 · (856) 571-3723
Sole ProprietorNo
Enumeration DateJanuary 31, 2020
NPI 1497386056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4201 HENRY AVE, Philadelphia, PA 19144

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Health Service)
4201 HENRY AVE, PHILADELPHIA UNIVERSITY STUDENT HEALTH CENTER
PHILADELPHIA, PA 19144
Physician Assistant
4201 HENRY AVE
PHILADELPHIA, PA 19144
Nurse Practitioner (Family)
4201 HENRY AVE, PHILADELPHIA UNIVERSITY, STUDENT HEALTH CENTER
PHILADELPHIA, PA 19144
Specialist/Technologist (Athletic Trainer)
4201 HENRY AVE
PHILADELPHIA, PA 19144
Specialist/Technologist (Athletic Trainer)
4201 HENRY AVE
PHILADELPHIA, PA 19144
Specialist/Technologist (Athletic Trainer)
4201 HENRY AVE
PHILADELPHIA, PA 19144
Family Medicine
4201 HENRY AVE
PHILADELPHIA, PA 19144
Specialist/Technologist (Athletic Trainer)
4201 HENRY AVE
PHILADELPHIA, PA 19144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497386056, enumerated as an "individual" on January 31, 2020.

The provider is located at 4201 HENRY AVE PHILADELPHIA, PA 19144 and the phone number is (215) 951-2700.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.