Individual
DR. MARLON GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
727 HOSPITAL DR, SHELBYVILLE, KY 40065-1660
(502) 647-4347
Mailing address
PO BOX 8, LOUISVILLE, KY 40201-0008
(800) 476-8646
(919) 382-3210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA076
KY
Other
Enumeration date
06/14/2005
Last updated
02/27/2008
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