Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN J MARTIN, MD
ActiveNephrology · ST LOUIS, MO
Registration Details
- NPI Number
- 1235140864
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2006 (19.763929235372 yrs)
- Last Updated
- Jan 13, 2021
- License
-
35906 (MO)
Practice Information
- Address
-
CENTER FOR SPECIALIZED MEDICINE / MULTI-DISCIPLINARY CL1225 SOUTH GRAND BLVDST LOUIS, MO, 63104Browse MO providers · Browse ZIP 63104
- Phone
- 3149772650
- Fax
- 3147710784
- Primary Specialty
-
Nephrology
207RN0300X
Other Nephrology Providers in ST LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| STANLEY W BUCK | MD | 1740251198 |
| ERIK D DANIELS | MD | 1437120888 |
| NICHOLAS GOURTZELIS | MD | 1790734994 |
| DR. BAHAR BASTANI | MD | 1326059957 |
| ROBYN HAYLEY JACOBS | MD | 1730288317 |
| MISS SANA JAVEED SHAIKH | M.B.B.S. | 1619323888 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.