Individual provider · Type 1 NPI

Kenneth Wade Martin, MD

Diagnostic Radiology Physician · Philadelphia, PA

NPI number 1265471338 Active

Practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other practice locations

  • 747 52nd St, Oakland, CA 94609-1809 · (510) 428-3410

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician 2085R0001XMD479412 (PA)
Diagnostic Radiology Physician 2085R0202XG59973 (CA)
Diagnostic Radiology Physician Primary 2085R0202XMD479412 (PA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1265471338

Kenneth Wade Martin, MD's National Provider Identifier is 1265471338, issued on Jun 5, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Philadelphia, PA. The record was last updated on May 22, 2024.