# MARSHALL COUNTY HOSPITAL DISTRICT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Marshall Co Surgical & Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689778250
- **Authorized official:** MRS. JANICE KELLEY (CFO)
- **Authorized official phone:** (270) 527-4852

## Contact information

- **Practice address:** 619 OLD SYMSONIA RD, BENTON, KY 42025-5094
- **Practice address phone:** (270) 527-2411
- **Practice address fax:** (270) 527-8734
- **Mailing address:** 619 OLD SYMSONIA RD, BENTON, KY 42025-5094
- **Mailing address phone:** (270) 527-2411
- **Mailing address fax:** (270) 527-8734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24262 | KY | — |
| 207Q00000X | Family Medicine Physician | TP638 | KY | Yes |
| 207R00000X | Internal Medicine Physician | 17956 | KY | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 21862 | KY | — |
| 207X00000X | Orthopaedic Surgery Physician | 24325 | KY | — |
| 261QU0200X | Urgent Care Clinic/Center | — | — | — |
| 363AM0700X | Medical Physician Assistant | PA540 | KY | — |
| 363LF0000X | Family Nurse Practitioner | 2422P | KY | — |
| 367500000X | Certified Registered Nurse Anesthetist | 034466 | KY | — |
| 367500000X | Certified Registered Nurse Anesthetist | 1026012 | KY | — |
| 367500000X | Certified Registered Nurse Anesthetist | 1027758 | KY | — |
| 367500000X | Certified Registered Nurse Anesthetist | 1559A | KY | — |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 04/14/2026