Individual
MARILYN MASON MCMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
305 LANGDON ST, LAKE CUMBERLAND REGIONAL HOSPITAL, SOMERSET, KY 42501
(606) 678-8800
(606) 679-5238
Mailing address
PO BOX 3310, W SOMERSET, KY 42564
(606) 678-8800
(606) 679-5238
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20206
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64202062
—
KY
Enumeration date
03/08/2006
Last updated
10/21/2014
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