Individual
MAKALA NICOLE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 KY 1768, BOONEVILLE, KY 41314-7013
(606) 233-6654
Mailing address
300 KY 1768, BOONEVILLE, KY 41314-7013
(606) 233-6654
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KY
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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