IndividualActive
Martinez Mckeithan, HS1
NPI 1275564700 · Other Technician · New Haven, CT
Provider details
- NPI number
- 1275564700
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- HS1
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
120 Woodward Ave
Commander Uscg Sector Long Island Sound
New Haven, CT 06512-3628
Phone: (203) 468-4593
Fax: (203) 468-4483
Approximate (ZIP-level) locationGet directions
Mailing address
120 Woodward Ave
New Haven, CT 06512
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.