Kenneth Paul Martell (NPI# 1386697613, PAC ID# 0749292407) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1386697613 |
| PAC ID by PECOS | 0749292407 |
| Professional Enrollment ID | I20060620000184 |
| Full Name | Kenneth Paul Martell |
| Address |
601 S Webb St Wittenberg WI 54499-9042 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1999 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 717 S Central Ave, Marshfield, WI 54449-4106 | 7153878608 | SHOPTIKAL LLC |
| 601 S Webb St, Wittenberg, WI 54499-9042 |
| Street Address |
601 S WEBB ST |
| City | WITTENBERG |
| State | WI |
| Zip | 54499-9042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey J Long | Chiropractic | 406 S Howard St, Wittenberg, WI 54499 | |
| Rebecca A Haug | Physical Therapy | Marshfield Clinic Inc | 201 Liberty Dr, Wittenberg, WI 54499-8239 |
| Alice K Schmutzler | Nurse Practitioner | Marshfield Clinic Inc | 201 Liberty Dr, Wittenberg, WI 54499-8239 |
| City | WITTENBERG |
| Zip Code | 54499 |
| Specialty | OPTOMETRY |
| City + Specialty | WITTENBERG + OPTOMETRY |
Please comment or provide details below to improve the information on Kenneth Paul Martell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.