MEDICARE: KARA GABLE MARTIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	297562	KY
2	225X00000X	Occupational Therapist	31008641A	IN

General Provider Information

NPI Number	:	1407669005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA GABLE MARTIN

Provider Business Mailing Address
First Line	:	90 HOWARD DR
Second Line	:
City	:	SHELBYVILLE
State	:	KY
Zip	:	40065-8138
Country	:	US
Telephone Number	:	812-269-5643
Fax Number	:	812-496-0418

Provider Business Practice Location Address
First Line	:	1101 N ROYAL AVE STE B
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-7845
Country	:	US
Telephone Number	:	812-269-5643
Fax Number	:	812-496-0418

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2025
Last Update Date	:	02/12/2025

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Directions to “ KARA GABLE MARTIN ” Practice Location

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