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Individual

MARSHALL KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1803 W 6TH ST, LAWRENCE, KS 66044-1710
(785) 841-7297
(785) 856-0375
Mailing address
1312 W 6TH ST, LAWRENCE, KS 66044-2219
(785) 841-7297
(785) 856-0375

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0422669
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100149670A
KS
Enumeration date
07/06/2005
Last updated
07/28/2025
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