Provider Demographics
NPI:1053694935
Name:MARTELL, KATHRYN (DVM)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:
Last Name:MARTELL
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11710 BUSINESS BLVD
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7724
Mailing Address - Country:US
Mailing Address - Phone:907-694-3800
Mailing Address - Fax:907-694-2918
Practice Address - Street 1:11710 BUSINESS BLVD
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7724
Practice Address - Country:US
Practice Address - Phone:907-694-3800
Practice Address - Fax:907-694-2918
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK450174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian