Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Martinez

Individual provider Physician Assistant · NPI 1508401019

Kathleen Martinez is a Physician Assistant in South Haven, Michigan. Qualified in 2020, 6 years ago. Practices with Bronson South Haven Hospital, a 37-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2019
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Practice location Address checks out

950 S Bailey Ave Ste 1
South Haven, MI 49090-8744
Phone: (269) 639-2866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2440 N 11th St, Grand Junction, CO 81501-8102 — (517) 401-0033
  • 2465 Ruth Dr, Fenton, MI 48430-8806 — (517) 401-0033
  • 4625 Trenholm Rd, Columbia, SC 29206-4463 — (517) 401-0033

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010089 (MI)

Record details

NPI number1508401019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 8, 2019
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021
Mailing address601 John Street, Box 39, Kalamazoo, MI 49007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bronson South Haven Hospital — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in South Haven