Kyle Richard Martin, is a
Emergency Medicine - Sports Medicine physician based in Canton, Missouri. Kyle Richard Martin is licensed to practice in Missouri (license number C054365002) and his current practice location is 1 College Hl, Canton, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 288-6000.
NPI number for Kyle Richard Martin is 1679344030 and his current mailing address is 1 College Hl, Canton, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679344030.
Physician's Profile
| Full Name | Kyle Richard Martin |
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| Gender | Male |
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| Speciality | Emergency Medicine - Sports Medicine |
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| Location | 1 College Hl, Canton, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679344030
- Provider Enumeration Date: 01/12/2024
- Last Update Date: 01/12/2024
Medical Identifiers
Medical identifiers for Kyle Richard Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679344030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PS0010X | Emergency Medicine - Sports Medicine | C054365002 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Richard Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kyle Richard Martin,
1 College Hl,
Canton, MO 63435-1299
Ph: () - | Kyle Richard Martin,
1 College Hl,
Canton, MO 63435-1257
Ph: (573) 288-6000 |
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