Individual
SHELBY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 E GRAY ST STE 803, LOUISVILLE, KY 40202-3904
(502) 238-9462
(502) 290-5632
Mailing address
347 CHENOWETH LN, LOUISVILLE, KY 40207-2075
(502) 921-1719
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58083
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
58083
KY
Other
Enumeration date
04/08/2017
Last updated
05/31/2025
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