Individual provider · Type 1 NPI

Taylor Kenneth Martin, MD

Student in an Organized Health Care Education/Training Program · Bangor, ME

NPI number 1487968491 Active

Practice location

895 Union St, Suite 12
Bangor, ME 04401-3053

Fax (207) 947-9579

Mailing address

43 Whiting Hill Rd, Suite 300
Brewer, ME 04412-1005

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487968491

Taylor Kenneth Martin, MD's National Provider Identifier is 1487968491, issued on Aug 2, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bangor, ME. The record was last updated on Aug 2, 2010.