Keyna Ann Martinez M.D.

NPI 1013941699 - Family Medicine - 207Q00000X

NPI Details
NPI 1013941699
Gender Female
Enumeration Date 07/10/2006
Last Updated 03/21/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
601 N. MICHIGAN STREET
LAKEVILLE IN, 46536, US
Phone (574) 784-8244
Fax (574) 784-8632
Business Location
710 N NILES AVE
SOUTH BEND IN, 46617-1924, US
Phone (574) 647-1610
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 11013105A
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According to our database, Keyna Ann Martinez M.D. NPI is 1013941699, taxonomy code is 207Q00000X and license number is 11013105A, license state is located at Indiana. Keyna Ann Martinez M.D. physically located at 601 N. Michigan Street, Lakeville IN, 46536. NPI Number Keyna Ann Martinez M.D. has the Individual type.

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1013941699 NPI number is provided on an as is basis without warranty of any kind. 1013941699 is maintained by the National Plan & Provider Enumeration System. The contents of Keyna Ann Martinez M.D. are for informational purposes only.