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Individual

MR. MARTY D CASEBIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 377-1604
(270) 377-1684
Mailing address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 377-1604
(270) 377-1684

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37380
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64068091
KY
Enumeration date
08/09/2005
Last updated
12/17/2007
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