# CECIL D MARTIN

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

## Provider details

- **NPI number:** 1558392811
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01042890 | IN | — |
| 207Q00000X | Family Medicine Physician | 15531 | KY | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00000076887 | ANTHEM BCBS | IN |
| 01 | — | 000019257Q | HUMANA | — |
| 01 | — | 01-00445 | UNITED HEALTHCARE | — |
| 01 | — | 010065441 | MEDICARE RAILROAD | — |
| 01 | — | 1050552 | PASSPORT KY MEDICAID | KY |
| 01 | — | 5912036 | AETNA | — |
| 05 | — | 64155310 | — | KY |
| 01 | — | KY9904P | SIHO | IN |