Individual
DR. DAVID WENDELL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
178 DOUGLAS PARKWAY, PRESTONSBURG, KY 41501-6970
(606) 639-3135
(606) 639-3136
Mailing address
1709 KY ROUTE 321, SUITE 3, PRESTONSBURG, KY 41653
(606) 886-8546
(606) 886-8548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34359
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042976
BLUE CROSS BLUE SHIELD
KY
01
—
000000523945
ANTHEM
KY
01
—
1529561
UMWA
KY
01
—
164138200
FEDERAL BLACK LUNG
KY
01
—
611330253
COMMERCIAL INS
KY
05
—
64343593
—
KY
Enumeration date
04/23/2007
Last updated
07/15/2015
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