Individual
DR. TERRY KEVYN MARMON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
606-A BLOOMFIELD RD, BARDSTOWN, KY 40004
(502) 350-3700
(502) 350-3701
Mailing address
606-A BLOOMFIELD RD, BARDSTOWN, KY 40004
(502) 350-3700
(502) 350-3701
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4521
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1155747
PASSPORT
KY
05
—
85001931
—
KY
Enumeration date
10/04/2006
Last updated
07/16/2013
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