Individual
DIANA K. MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
101 W SYCAMORE ST, COLUMBUS, KS 66725-1276
(620) 429-3636
(620) 429-1301
Mailing address
101 W SYCAMORE ST, COLUMBUS, KS 66725-1276
(620) 429-3636
(620) 429-1301
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00487
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100349810H
—
KS
01
—
1376586891
BLUE CROSS
KS
Enumeration date
06/13/2006
Last updated
02/10/2012
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