Individual
MIDAYA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-8000
Mailing address
5503 WESTHALL AVE, LOUISVILLE, KY 40214-3605
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
33008149A
IN
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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