Individual
CECIL D MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
309 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-3272
(502) 732-3284
Mailing address
309 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-3272
(502) 732-3284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01042890
IN
207Q00000X
Family Medicine Physician
Primary
15531
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000076887
ANTHEM BCBS
IN
01
—
000019257Q
HUMANA
—
01
—
01-00445
UNITED HEALTHCARE
—
01
—
010065441
MEDICARE RAILROAD
—
01
—
1050552
PASSPORT KY MEDICAID
KY
01
—
5912036
AETNA
—
05
—
64155310
—
KY
01
—
KY9904P
SIHO
IN
Enumeration date
07/05/2006
Last updated
07/21/2022
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