Individual
ROBERT CRAIG MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1138 LEXINGTON RD, SUITE 290, GEORGETOWN, KY 40324-9672
(502) 863-0721
(502) 863-6104
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(829) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64296296
—
KY
Enumeration date
08/16/2005
Last updated
08/28/2023
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