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Individual

DEBRA LYNN MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
825 BARRET AVE, LOUISVILLE, KY 40204-1743
(502) 540-7200
(502) 540-7207
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 969-6552
(502) 969-3799

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32280
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000514956
ANTHEM - NCMA
KY
01
085492
SIHO - NCMA
01
2851803000
PAD - NCMA
01
50015283
PASSPORT - NCMA
05
64322803
KY
01
P00410727
RAILROAD MEDICARE
KY
Enumeration date
11/29/2005
Last updated
03/26/2008
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