Individual
LARRY E MARION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN, CFA
Contact information
Practice address
1216 B NORTH RACE STREET, GLASGOW, KY 42141
(270) 651-9408
(270) 651-6023
Mailing address
PO BOX 818, GLASGOW, KY 42142-0818
(270) 651-9408
(270) 651-6023
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184701
KENTUCKY ACCESS
KY
Enumeration date
01/11/2007
Last updated
07/08/2007
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