Individual
KEVIN LEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
513 BURKARTH RD, WARRENSBURG, MO 64093-3103
(660) 747-7751
(660) 747-8398
Mailing address
513 BURKARTH RD, WARRENSBURG, MO 64093-3103
(660) 747-7751
(660) 747-8398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023027654
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/12/2022
Last updated
09/30/2025
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