Individual
DR. CRYSTAL DENISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
Mailing address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
(859) 281-3933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42964
KY
207Q00000X
Family Medicine Physician
MD46507
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4278615
BCBS
TN
05
—
7100157060
—
KY
Enumeration date
07/03/2008
Last updated
10/17/2025
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