Individual
DR. MARTIN JOSEPH CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 301-2440
(859) 301-2493
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-2440
(859) 301-2493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40868
KY
207Q00000X
Family Medicine Physician
MD00049231
WA
207V00000X
Obstetrics & Gynecology Physician
Primary
40868
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083643
—
OH
05
—
201178670
—
IN
05
—
7100029610
—
KY
05
—
8511248
—
WA
Enumeration date
06/03/2007
Last updated
05/10/2021
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