Individual
STEPHANIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 HIGHWAY 1275 N, MONTICELLO, KY 42633-7241
(606) 348-6792
Mailing address
4660 HIGHWAY 1275 N, MONTICELLO, KY 42633-7241
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
KY
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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