Individual
MISS KATHRYN RENEE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
10623 S REDWOOD RD, SUITE 101, SOUTH JORDAN, UT 84095-2481
(801) 566-4242
Mailing address
10623 S REDWOOD RD, SUITE 101, SOUTH JORDAN, UT 84095-2481
(801) 566-4242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10142002-1206
UT
363AM0700X
Medical Physician Assistant
Primary
C0002238
MD
Other
Enumeration date
12/12/2006
Last updated
12/30/2016
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