Stephanie Martin

NPI #1720218241 in Monticello, Kentucky

Provider Information

NPI Number: 1720218241
Entity Type: Individual
Name: Stephanie Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jul 17, 2009
Last Updated: Jul 17, 2009

Practice Location

Address: 4660 HIGHWAY 1275 N
City: Monticello
State: Kentucky
ZIP Code: 42633-7241
Phone: (606) 348-6792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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