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Individual

MISS CANDACE MARIE MARTENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C.

Contact information

Practice address
201 ABRAHAM FLEXNER WAY, STE 902, LOUISVILLE, KY 40202-3841
(502) 583-5948
(502) 583-1804
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 583-5948
(502) 583-1804

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1060
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
71000187380
KY
Enumeration date
09/12/2007
Last updated
01/23/2019
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