Individual
KEVIN A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
838 E WOOSTER ST, BOWLING GREEN, OH 43402-3186
(419) 372-2271
(419) 354-3222
Mailing address
745 HASKINS RD, SUITE B, BOWLING GREEN, OH 43402-1637
(419) 353-7069
(419) 353-7076
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.075962
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2153637
—
OH
Enumeration date
03/23/2006
Last updated
10/11/2018
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