Individual
MARSHALL EDWARD PRUNTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 E PARRISH AVE STE 102, OWENSBORO, KY 42303-3258
(270) 688-2077
(270) 688-2078
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22988
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201282610
—
IN
05
—
64229883
—
KY
Enumeration date
07/06/2006
Last updated
06/06/2024
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