Individual
STEVEN R. MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2560 RICHMOND RD, SUITE 102, LEXINGTON, KY 40509-1769
(859) 277-1008
(859) 277-1083
Mailing address
2560 RICHMOND RD, SUITE 102, LEXINGTON, KY 40509-1769
(859) 277-1008
(859) 277-1083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001917
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000320832
ANTHEM
—
01
—
1053662031
GROUP NPI FOR STEVE MARCUM PT LLC
KY
01
—
11386399
CAQH
—
05
—
87019170
—
KY
01
—
P00312619
RAILROAD MEDICARE
—
Enumeration date
05/05/2006
Last updated
04/26/2017
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