Timothy Martin

NPI #1154834703 in Central City, Kentucky

Provider Information

NPI Number: 1154834703
Entity Type: Individual
Name: Timothy Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 6, 2017
Last Updated: Nov 6, 2017

Practice Location

Address: 109 S 2ND ST
City: Central City
State: Kentucky
ZIP Code: 42330-1505
Phone: (270) 931-5113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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