Jason Robert Martin, M.D. Valid NPI
Individual provider · Dermatology Physician · Crestview Hills, KY
- NPI
- 1235549205
- Type
- Individual (Type 1)
- Primary specialty
- Dermatology Physician (Dermatology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207N00000X
- License number
- 53911 (KY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-04-30
- Last updated
- 2021-02-05
Practice location
651 Centre View Blvd
Crestview Hills, KY 41017-5423
(859) 371-3376