Individual
ELAINE DRAKE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 S FLOYD ST, LOUISVILLE, KY 40202-3822
(502) 588-3440
(502) 588-3441
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22208
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200224830
—
IN
05
—
64222086
—
KY
Enumeration date
12/05/2005
Last updated
10/26/2020
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