NPI 1174908230
Jonathan Martin, MD
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
Psychiatry Physician
Student in an Organized Health Care Education/Training Program
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.