Provider Demographics
NPI:1518954825
Name:MARTINS, KIMBERLY JOYAL (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:JOYAL
Last Name:MARTINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-1155
Mailing Address - Country:US
Mailing Address - Phone:413-599-1201
Mailing Address - Fax:413-596-2940
Practice Address - Street 1:2207 BOSTON RD
Practice Address - Street 2:
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-1155
Practice Address - Country:US
Practice Address - Phone:413-599-1201
Practice Address - Fax:413-596-2940
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1601022080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
160102OtherMA LICENSE
MA3194795Medicaid
J21389OtherBCBS
000000008138OtherBOSTON MED CENTER HLTHNET
160102OtherCONNECTICARE
24885OtherHEALTH NEW ENGLAND
975888OtherNETWORK HEALTH
102258OtherCIGNA
160102OtherTUFTS
202121OtherHARVARD PILGRIM
01016012MA01OtherANTHEM BCBS
1240873OtherUNITED HEALTHCARE
28152OtherCHILDREN MEDICAL SEC PLAN
2222559OtherAETNA/USHC
353453OtherHEALTHSOURCE MA,NH
353453OtherHEALTHSOURCE MA,NH
28152OtherCHILDREN MEDICAL SEC PLAN