Whalio Doctors

NPI 1174908230

Jonathan Martin, MD

Practitioner Psychiatry Physician Corbin, KY

Practice location

Address
1 Trillium Way, Corbin, KY 40701-8727
Phone
(606) 523-8521
Fax
(606) 523-8742
Mailing address
5200 Commerce Crossings Dr, Louisville, KY 40229-2182

Registered specialties (3)

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 52464 (KY)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence R3842 (KY)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1174908230
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Jul 2015
Record last updated
3 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.