Individual
MR. RONNIE MARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1113 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 737-4343
(270) 769-1072
Mailing address
1113 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 737-4343
(270) 769-1072
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
PA461
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95000030
—
KY
Enumeration date
09/02/2005
Last updated
07/08/2007
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