Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Richard Martin

Individual provider Sports Medicine (Emergency Medicine) Physician · NPI 1679344030

Kyle Richard Martin is a Sports Medicine (Emergency Medicine) Physician in Canton, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2024

Practice location Address checks out

1 College Hl
Canton, MO 63435-1257
Phone: (573) 288-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence C054365002 (MO)

Record details

NPI number1679344030
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2024
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 11, 2024