Individual provider · Type 1 NPI

Kenya N. Martin, CRNP

Family Nurse Practitioner · Philadelphia, PA

NPI number 1790071413 Active

Practice location

2804 Southampton Rd
Philadelphia, PA 19154-1207

Mailing address

3900 Woodland Ave, Philadelphia Va Medical Center
Philadelphia, PA 19104-4551

Other practice locations

  • 3900 Woodland Ave, Philadelphia, PA 19104-4551 · (215) 823-5800

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XSP036733 (PA)
Family Nurse Practitioner Primary 363LF0000XSP011228 (PA)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1790071413

Kenya N. Martin, CRNP's National Provider Identifier is 1790071413, issued on Jun 21, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 6, 2026.