Individual
DR. MARTHA ANNE YEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
805 BURKESVILLE ST, COLUMBIA, KY 42728-1655
(270) 384-0233
(270) 384-0245
Mailing address
PO BOX 1780, COLUMBIA, KY 42728-6780
(270) 384-0233
(270) 384-0245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33351
KY
207QA0401X
Addiction Medicine (Family Medicine) Physician
33351
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33351
LICENSE
KY
05
—
64333511
—
KY
01
—
K008391
GROUP PTAN
KY
Enumeration date
05/15/2006
Last updated
07/29/2024
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