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Individual

KENNETH MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
561 BRECKENRIDGE ST, LEXINGTON, KY 40508-2255
(606) 599-7077
Mailing address
561 BRECKENRIDGE ST, LEXINGTON, KY 40508-2255
(606) 599-7077

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
KY

Other

Enumeration date
06/19/2023
Last updated
06/19/2023
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