Martin, Kimberly A
Martin, Kimberly A is an individual health care provider with primary practice located at 1705 E Broadway Ste 300 , Columbia MO 65201-7167. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Martin, Kimberly A can be contacted via phone (573) 817-0810.Contact Information
Primary practice address
1705 E Broadway Ste 300
Columbia MO 65201-7167
Phone: (573) 817-0810
Fax: (573) 817-1790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 120024 | Missouri |
Profile Details
| NPI number | 1376569681 |
|---|---|
| LBN Legal business name | Martin, Kimberly A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Nov 19th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376569681 | NPPES |
| Missouri | MEDICAID | 204739007 |
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