Dr. Kimberly A Martin
Clinical Genetics (M.D.)
1705 E Broadway Ste 300
Columbia
, Missouri 65201-7167
Dr. Kimberly A Martin
Clinical Genetics (M.D.)
1705 E Broadway Ste 300
Columbia
, Missouri 65201-7167
(573) 817-1790
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Dr. Kimberly A Martin
- 1705 E Broadway Ste 300
- Columbia, MO
- Zip : 65201-7167
- Fax : (573) 817-1790
- Phone : (573) 817-0810
Second Address
- Dr. Kimberly A Martin
- 1705 E Broadway Ste 300
- Columbia, MO
- Zip : 65201-7167
- Fax : (573) 817-1790
- Phone : (573) 817-0810
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 120024 | MO |
National Provider Identifier
| NPI | 1376569681 |
|---|---|
| Provider Name | Dr. Kimberly A Martin |
| First Address | Columbia, MO 65201-7167 |
| Second Address | Columbia, MO 65201-7167 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2006 |
| Last Update Date | 19/11/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 204739007 | (05) | MO |
| G36768 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.