Individual
KIMBERLY A MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
6535 MARKET AVE N STE 110, CANTON, OH 44721-2487
(330) 324-0979
Mailing address
6535 MARKET AVE N STE 110, CANTON, OH 44721-2487
(330) 324-0979
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP07741
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP07741
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2490120
—
OH
Enumeration date
07/24/2006
Last updated
10/30/2020
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