Individual
MARLENE J BOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
(270) 234-8572
Mailing address
1596 HIGHWAY 2202, IRVINGTON, KY 40146-5324
(270) 765-2605
(270) 234-8572
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
1043916
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30605018
—
KY
Enumeration date
02/13/2007
Last updated
07/08/2007
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