Individual
BRYCE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 S PRESTON ST RM 305, LOUISVILLE, KY 40202-1702
(502) 852-8696
Mailing address
4923 LAGOONA DR, LOUISVILLE, KY 40219-5403
(859) 319-3816
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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