Individual
KAYLYN MACKENZIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3920 DUTCHMANS LN STE 315, LOUISVILLE, KY 40207-4702
(502) 896-4246
(502) 896-1136
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 896-4246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4008834
KY
Other
Enumeration date
08/29/2023
Last updated
10/18/2023
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