Individual
BETSY H. MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 745-1200
(270) 843-5020
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 745-1467
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
38289
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64799653
—
KY
Enumeration date
02/08/2006
Last updated
07/08/2007
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