Individual
JAMES HENRY MARTIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1000 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-9057
(859) 323-9502
Mailing address
1000 S LIMESTONE, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3558
KY
363AM0700X
Medical Physician Assistant
PA3558
KY
363AS0400X
Surgical Physician Assistant
PA3558
KY
Other
Enumeration date
05/17/2024
Last updated
01/13/2025
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