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Contact Information

MARTIN J CLEMENTS, MD
1 MEDICAL VILLAGE DR
EDGEWOOD, KY41017
 Phone: 859-301-2440
 Fax: 859-301-2493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARTIN J CLEMENTS · (Male)

NPI Number 1306048384
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2007
Last updated 05/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 40868
  • WA License # MD00049231
  • IN Medicaid 201178670
  • KY Medicaid 7100029610
  • OH Medicaid 0083643
  • WA Medicaid 8511248
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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