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Individual
DR. JEFFERY L MARTIN
Active
Individual
DR. JEFFERY L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-18249
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021119
BCBS OF KS
KS
05
—
100138770
—
KS
Enumeration date
12/01/2005
Last updated
12/15/2011
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