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NPI Code Detail

MEDICARE: JAIME PATRICIA MARTINEZ

MEDICARE:   JAIME PATRICIA MARTINEZ
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
11041C0700XClinical Social Worker256556KY

General Provider Information

NPI Number : 1457007890
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME PATRICIA MARTINEZ
Provider Business Mailing Address
First Line : 1201 SAINT CHRISTOPHER DR
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7064
Country : US
Telephone Number : 606-388-2898
Fax Number :
Provider Business Practice Location Address
First Line : 1201 SAINT CHRISTOPHER DR
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7064
Country : US
Telephone Number : 606-388-2898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2022
Last Update Date : 06/17/2026

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Directions to “ JAIME PATRICIA MARTINEZ ” Practice Location

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