Individual
KEVIN KIP MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2715 E BATTLEFIELD ST, SPRINGFIELD, MO 65804-3981
(866) 389-2727
Mailing address
371 ROCK COURT DR, MARSHFIELD, MO 65706-7402
(417) 942-2018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2003018972
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42873101
—
MO
Enumeration date
08/31/2005
Last updated
03/15/2017
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