Individual
MR. MARVIN LYNELL MCINTOSH
Active
Individual
MR. MARVIN LYNELL MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0428352
KS
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
04-28352
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006440A
—
KS
05
—
200006440D
—
KS
Enumeration date
09/20/2006
Last updated
06/05/2012
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