Individual
DR. KYLE AUSTIN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 271-6812
(570) 271-6507
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
BP10042757
TX
207P00000X
Emergency Medicine Physician
Primary
P7308
TX
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
P7308
TX
Other
Enumeration date
04/05/2012
Last updated
05/05/2022
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