Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KRISTIN KAY MARTIN, D.O.
Active Sole ProprietorAddiction Medicine (Family Practice) · RUSSELLVILLE, AR
Registration Details
- NPI Number
- 1689835225
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2008 (17.860968639847 yrs)
- Last Updated
- Jul 13, 2022
- Licenses
-
E-6205 (AR)E-6205 (AR)E-6205 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 LAKE FRONT DRRUSSELLVILLE, AR, 728022206Browse AR providers · Browse ZIP 72802
- Phone
- 9186716919
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Addiction Medicine (Family Practice)
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.