Individual
MR. MARTY ROBERT LITCHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 461-0309
Mailing address
4071 SINGLETREE DR, HOPKINSVILLE, KY 42240-9191
(270) 707-7170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000001836
TN
Other
Enumeration date
11/18/2005
Last updated
04/10/2019
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