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Individual

MR. JAMIE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 430-3500
(606) 437-1033
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-3500
(606) 437-1033

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3008509
KY

Other

Enumeration date
02/04/2014
Last updated
10/05/2022
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