Individual
DR. KENNETH EDWIN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 FRANKFORT RD STE 103, SHELBYVILLE, KY 40065-7401
(502) 844-2888
(502) 943-6503
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01070385A
IN
207Q00000X
Family Medicine Physician
037919
TN
207Q00000X
Family Medicine Physician
Primary
26236
KY
207R00000X
Internal Medicine Physician
01070385A
IN
Other
Enumeration date
07/25/2011
Last updated
03/05/2021
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