# MRS. KALI YVONNE ELENE MARCUM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053603324
- **Gender:** F
- **Credential:** LPN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 27063400A | IN | — |
| 164W00000X | Licensed Practical Nurse | PN 129267 | OH | Yes |

## Other

- **Enumeration date:** 05/05/2011
- **Last updated:** 05/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0180198824 | DRIVERS LICENSURE | IN |
| 01 | — | 27063400A | INDIANA NURSING LICENSURE | — |
| 01 | — | PN 129267 | OHIO NURSING LICENSURE | OH |