Individual
DR. STUART MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2375 PROFESSIONAL HEIGHTS DR, SUITE 210, LEXINGTON, KY 40503-3040
(859) 317-9159
(859) 309-0277
Mailing address
4 WATERS EDGE PL, LEXINGTON, KY 40502-2612
(859) 266-5604
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
21427
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
21427
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64214273
—
KY
Enumeration date
08/19/2005
Last updated
04/11/2014
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