Individual
DR. JEFFREY KENNETH MARZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3403 GATECREEK RD, LOUISVILLE, KY 40272-2687
(502) 381-7563
(513) 858-7827
Mailing address
3403 GATECREEK RD, LOUISVILLE, KY 40272-2687
(502) 381-7563
(513) 858-7827
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00388
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201073770
—
IN
05
—
7100216340
—
KY
Enumeration date
07/17/2006
Last updated
03/09/2020
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