NPI 1043557887

Kayleigh Mae Martin, PA

Practitioner Medical Physician Assistant Elmira, NY

Practice location

Address: 600 Roe Ave, Elmira, NY 14905-1629
Phone: (607) 737-4508
Fax: (607) 735-5738
Mailing address: 600 Roe Avenue Emergency Department, Elmira, NY 14905-1676

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 016278 (NY)

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Registry record

NPI: 1043557887
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jan 2013
Record last updated: 15 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.