Individual
KIM MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 CIRCLEVILLE AVE, ASHVILLE, OH 43103-1545
(740) 601-4325
Mailing address
161 CIRCLEVILLE AVE, ASHVILLE, OH 43103-1545
(740) 601-4325
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6508274
—
OH
Enumeration date
09/25/2020
Last updated
09/25/2020
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