Individual
DR. KIM R MARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
438 OLD FARM LN, JOHNSTOWN, PA 15904-3646
(814) 243-3365
Mailing address
438 OLD FARM LN, JOHNSTOWN, PA 15904-3646
(814) 243-3365
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD425474
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101222472
—
PA
01
—
1691647
HIGHMARK BLUE CROSS
PA
Enumeration date
12/07/2005
Last updated
02/25/2019
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