Martin, Kimberly A

Martin, Kimberly A is an individual health care provider with primary practice located at 1705 E Broadway Ste 300 , Columbia MO 65201-7167. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Martin, Kimberly A can be contacted via phone (573) 817-0810.

Contact Information

Primary practice address
1705 E Broadway Ste 300 Columbia MO 65201-7167
Fax: (573) 817-1790
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 120024 Missouri

Profile Details

NPI number 1376569681
LBN Legal business name Martin, Kimberly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Nov 19th, 2008 - about 17 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 1376569681 NPPES
Missouri MEDICAID 204739007

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