Individual
DR. KEITH CHRISTOPHER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7065 SYDNEY CURV, MONTGOMERY, AL 36117-3509
(334) 647-1007
(334) 647-1117
Mailing address
69 AVA LN, WETUMPKA, AL 36093-3457
(334) 398-1636
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19884
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33834
BLUE CROSS/BLUE SHIELD
AL
05
—
33834
—
AL
01
—
640801795
TRICARE
AL
01
—
7410403
UNITED HEALTHCARE
AL
Enumeration date
08/01/2006
Last updated
08/09/2023
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