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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MICHELLE MARTIN, PAC

Active

MRS. MICHELLE MARTIN, PAC is a Medical Physician Assistant healthcare provider located in STANFORD, Kentucky. NPI 1003859174 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · STANFORD, KY

Registration Details

NPI Number
1003859174
Provider Type
Individual
Gender
Female
NPI Issued
Jun 14, 2006 (20.144991718141 yrs)
Last Updated
Jul 8, 2007
License
PA686 (KY)

Practice Information

Address
100 JAY STREET
STANFORD, KY, 404847511
Browse KY providers · Browse ZIP 40484
Phone
6063651547
Fax
6063658380
Primary Specialty
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.