Individual
CLAUDE MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RTR
Contact information
Practice address
OLD HWY 11, BOONEVILLE, KY 41314-0737
(859) 294-6185
(859) 294-6184
Mailing address
7460 CHASE LN, JEFFERSONVILLE, KY 40337-8979
(859) 294-6185
(859) 294-6184
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
720223
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86000338
—
KY
Enumeration date
10/08/2008
Last updated
10/08/2008
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