Individual
WANDA JOY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4371
(859) 258-4326
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
100867
KY
237600000X
Audiologist-Hearing Aid Fitter
KY-0104
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70001045
—
KY
Enumeration date
10/02/2006
Last updated
07/14/2022
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