Individual
MR. MARK J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
341 BOGLE ST STE A, SOMERSET, KY 42503-2815
(606) 677-0201
(606) 677-0208
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(606) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3006381
KY
363LF0000X
Family Nurse Practitioner
3006381
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3006381
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000710298
ANTHEM
LA
05
—
7100133450
—
KY
Enumeration date
04/20/2010
Last updated
08/26/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us