| Doctor Name: | SUSAN KAY MARTIN |
| NPI Number: | 1891792172 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | A01756 |
| Business Practice Address: | 5201 Northshore Dr N Little Rock, AR - 721185312 |
| Business Phone Number: | 5017488000 |
| Business Fax Number: | 5017488000 |
| Mailing Address: | Po Box 960454, OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731960454 |
| Phone Number: | 8006840052 |
| Fax Number: | 4058441794 |
| NPI Enumeration Date: | 07/01/2005 |
| NPI Last Update Date: | 03/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A01756 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |