Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEN MARTELL, OD
Active Sole ProprietorDR. KEN MARTELL, OD is a Optometrist healthcare provider located in MARATHON, Wisconsin. NPI 1386697613 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MARATHON, WI
Registration Details
- NPI Number
- 1386697613
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2006 (20.247119970487 yrs)
- Last Updated
- Sep 19, 2019
- License
-
2772 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
703 3RD STMARATHON, WI, 544489157Browse WI providers · Browse ZIP 54448
- Phone
- 7154432248
- Fax
- 7154439969
- Primary Specialty
-
Optometrist
152W00000X
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.