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Mrs. Michelle Martin, PAC
Medical Physician Assistant in Stanford, Kentucky
NPI 1003859174

Michelle Martin is a Medical Physician Assistant based in Stanford, KY and is specialized in Medical. Michelle Martin practices in Stanford, KY and has the professional credentials of PAC. The NPI Number for Michelle Martin is 1003859174 and holds a License No. PA686 (Kentucky).

The current practice location address for Michelle Martin is 100 Jay Street, Stanford, KY and can be reached out via phone at 606-365-1547 and via fax at 606-365-8380.

Location: 100 Jay Street, Stanford, KY, 40484-0330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003859174
Provider Name
Michelle Martin
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
100 Jay Street, Stanford, KY, 40484-0330
Phone Number
606-365-1547
Fax Number
606-365-8380
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9500353900 05 KY
institution
Provider Business Practice Location Address Details
Address
100 Jay Street
City
Stanford
State
Kentucky
Zip
40484-7511
Phone Number
606-365-1547
Fax Number
606-365-8380
person
Provider Business Mailing Address Details
Address
100 Jay Street
City
Stanford
State
Kentucky
Zip
40484-7511
Phone Number
606-365-1547
Fax Number
606-365-8380
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA686 (Kentucky)
Definition
Definition to come...
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