Kurt Martin, M.D.

Pediatrics Physician · Carbondale, IL

Individual Active NPI

NPI number 1164535365

Practice location

2601 W Main St
Carbondale, IL 62901-1031
Phone
(618) 549-5361
Fax
(618) 351-4878

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NPI record

NPI
1164535365
Entity type
Individual (Type 1)
Enumeration date
August 15, 2006
Last updated
November 2, 2020
Certified
November 2, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 036-093490 IL
Internal Medicine Physician 207R00000X 036-093490 IL

Mailing address

PO Box 3988
Carbondale, IL 62902-3988
Phone
(618) 457-5200

About Dr. Martin

Kurt Martin, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2601 W Main St, Carbondale, IL 62901-1031. The NPI number 1164535365 was assigned on August 15, 2006 and the record was last updated on November 2, 2020.

Dr. Martin lists 2 licenses in the registry: #036-093490 (IL) for Pediatrics Physician; #036-093490 (IL) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kurt Martin, M.D.?

The NPI number is 1164535365.

What is the phone number of Dr. Martin?

The phone number listed for the practice location is (618) 549-5361.

Where is Dr. Martin located?

2601 W Main St, Carbondale, IL 62901-1031.

What is the taxonomy code for Dr. Martin?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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