Individual
KIMBERLY J. MARSTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2720 N TENAYA WAY FL 1, STE 300, LAS VEGAS, NV 89128-0424
(702) 671-1111
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01059196A
IN
207Q00000X
Family Medicine Physician
38030
KY
207Q00000X
Family Medicine Physician
Primary
ME104803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001370700
—
FL
05
—
200486800
—
IN
01
—
P00314246
RR MEDICARE
IN
Enumeration date
03/30/2007
Last updated
11/18/2025
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