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

Kevin L Martin, PA-C

Individual provider Surgical Physician Assistant · NPI 1205067220

Kevin L Martin, PA-C is a Physician Assistant in Hartford, Connecticut. Graduated from Nova Southeastern Univ College of Dental Medicine in 2009, 17 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
17
Trained at
Nova Southeastern Univ College of Dental Medicine
Licensed in
CT, MA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

114 Woodland St Dept OF Surgery
Hartford, CT 06105-1208
Phone: (860) 714-6581
Fax: (860) 714-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 002579 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA4019 (MA)

Record details

NPI number1205067220
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2009
Last updated in NPPESAugust 31, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated 2009 (17 years in practice)
Group practice Trinity Health Of New England Provider Network Organization Inc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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