Kyle Richard Martin
Kyle Richard Martin is a Sports Medicine (Emergency Medicine) Physician in Canton, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2024
Practice location Address checks out
1 College HlCanton, MO 63435-1257
Phone: (573) 288-6000
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Specialties & licences
| Sports Medicine (Emergency Medicine) Physician (primary) | Taxonomy 207PS0010X · Licence C054365002 (MO) |
|---|
Record details
| NPI number | 1679344030 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2024 |
| Last updated in NPPES | January 12, 2024 |
| Certification date | January 11, 2024 |
| Mailing address | 1 College Hl, Canton, MO 63435-1299 |