Individual
JENAWIK C MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 LEXINGTON AVENUE, ASHLAND, KY 41101-2843
(606) 408-6806
(606) 408-6807
Mailing address
7376 SOLUTION CTR, CHICAGO, IL 60677-7003
(606) 408-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
42258
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013603
—
WV
Enumeration date
05/24/2007
Last updated
11/14/2012
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