Individual
KATHLEEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 N EAGLE CREEK DR, SUITE 202, LEXINGTON, KY 40509-2121
(859) 263-0022
(859) 263-4666
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
24819
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195176
ANTHEM
KY
05
—
64248198
—
KY
Enumeration date
10/03/2006
Last updated
08/07/2019
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