Active NPI
Martin Thomas Klaus Preen, D.O.
- Pediatrics Physician
- Elizabethtown, KY
National Provider Identifier
1720064314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 03145
- Practice address
- 103 Financial PL
Suite 100
Elizabethtown, KY 42701-4470 - Phone
- (270) 769-0110
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 03145 | KY | Primary |
Addresses
Primary practice location
103 Financial PL
Suite 100
Elizabethtown, KY 42701-4470
Mailing address
103 Financial PL
Suite 100
Elizabethtown, KY 42701-4470
Phone (270) 769-0110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03145 | KY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1720064314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 FINANCIAL PL",
"address_2": "SUITE 100",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427014470",
"telephone_number": "270-769-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 FINANCIAL PL",
"address_2": "SUITE 100",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427014470",
"telephone_number": "270-769-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREEN",
"first_name": "MARTIN",
"middle_name": "THOMAS KLAUS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "03145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.