# DR. STEPHEN KOHLER MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427007137
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 1949 | OK | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 02/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100134410A | — | OK |
| 05 | — | 100768880I | — | OK |
| 05 | — | 100768880J | — | OK |
| 01 | — | 37-1832 | MEDICARE | OK |