Provider Demographics
NPI:1013334184
Name:HIGGINS, AMY MARTIN (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:MARTIN
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:ELIZABETH
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1406 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-1688
Mailing Address - Country:US
Mailing Address - Phone:606-526-4970
Mailing Address - Fax:606-526-4971
Practice Address - Street 1:1406 W 5TH ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1688
Practice Address - Country:US
Practice Address - Phone:606-526-4970
Practice Address - Fax:606-526-4971
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY51016208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics