NPI 1235549205

Jason Robert Martin, MD

Practitioner Dermatology Physician Crestview Hills, KY

Practice location

Address: 651 Centre View Blvd, Crestview Hills, KY 41017-5423
Phone: (859) 371-3376
Fax: (859) 331-1053
Mailing address: PO Box 635283, Cincinnati, OH 45263-5283

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 53911 (KY)

Other Dermatology providers in Kentucky →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 35-134208 (OH)

Registry record

NPI: 1235549205
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2014
Record last updated: 5 Feb 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.