Carol Ennis Martin in Lexington - Pediatrics
Carol Ennis Martin - NPI 1598804973
Carol Ennis Martin is a Pediatrics in Lexington, Kentucky. Carol Ennis Martin practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Carol Ennis Martin is 1598804973. The last update date is 2018-09-08.
Carol Ennis Martin's current location address is The Kentucky Clinic Wing D J252, Lexington, Kentucky. You can contact this provider via phone number 8593232089 and fax number 8592187487. The mailing address for Carol Ennis Martin is The Kentucky Clinic Wing D J252, Lexington, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Ennis Martin |
|---|---|
| Address | The Kentucky Clinic Wing D J252, Lexington, Kentucky |
| Phone Number | 8593232089 |
| Fax Number | 8592187487 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1598804973 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2018-09-08 |
Provider Mailing Address Detail
| Address | The Kentucky Clinic Wing D J252 |
|---|---|
| City | Lexington |
| State | Kentucky (KY) |
| Post Code | 405360 |
| Phone Number | 8593232089 |
| Fax Number | 8592187487 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 3002688 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 78026887 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carol Ennis Martin by the Centers for Medicare & Medicaid Services?
The Carol Ennis Martin has been assigned the NPI (National Provider Identifier) 1598804973. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carol Ennis Martin is physically located?
The Carol Ennis Martin is physically situated at the following address: The Kentucky Clinic Wing D J252, Lexington, KY, 405360.
What is Carol Ennis Martin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carol Ennis Martin's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.
On what date did the Carol Ennis Martin receive its 1598804973 assignment from the Centers for Medicare & Medicaid Services?
The Carol Ennis Martin was assigned its 1598804973 by the Centers for Medicare & Medicaid Services on 2007-02-05.
When was the information pertaining to Carol Ennis Martin most recently updated or revised?
The details related to Carol Ennis Martin, including its address, specialty, and other relevant information, were last updated or revised on 2018-09-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC