Martin, Kevin D

Martin, Kevin D is an individual health care provider with primary practice located at 20 Medical Village Dr Ste 254 , Edgewood KY 41017-5401. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Martin, Kevin D can be contacted via phone (859) 344-1600.

Contact Information

Primary practice address
20 Medical Village Dr Ste 254 Edgewood KY 41017-5401
Phone: (859) 344-1600
Fax: (859) 344-0091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 26395 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 26395 Kentucky
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01072246A Indiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 26395 Kentucky

Profile Details

NPI number 1801888219
LBN Legal business name Martin, Kevin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Aug 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801888219 NPPES
Indiana MEDICAID 100354190A
Indiana Other P00252697
Indiana MEDICAID 00660100
Indiana Other 770000278
Indiana MEDICAID 64788912
Indiana MEDICAID 7100056850

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