# STEVEN DOUGLAS MARTIN

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

## Provider details

- **NPI number:** 1811995558
- **Gender:** Man
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 07307 | OH | — |
| 363L00000X | Nurse Practitioner | 3002999 | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | NP-07307 | OH | — |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 10/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0369017 | MEDICARE | KY |
| 01 | — | 0369211 | MEDICARE | KY |
| 01 | — | 0562617 | MEDICARE | KY |
| 01 | — | 611300608058 | CARESOURCE | OH |
| 05 | — | 78003274 | — | KY |