Individual
DR. KENNETH ALAN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2131 E STATE ST, ATHENS, OH 45701-2138
(740) 589-3100
(740) 589-3123
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 589-3100
(740) 589-3123
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD23820
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35051637
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072891
—
OH
05
—
238200
—
SC
05
—
3810027285
—
WV
05
—
GP2991
—
SC
Enumeration date
11/30/2005
Last updated
10/26/2020
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