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Individual

KATHLEEN MARION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1125 W JEFFERSON ST, FRANKLIN, IN 46131-2140
(317) 577-4532
Mailing address
14374 LELAND MUSE, FISHERS, IN 46037-0001

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
028525
NY
363A00000X
Physician Assistant
Primary
10000484
IN
363A00000X
Physician Assistant
50.007568RX
OH

Other

Enumeration date
08/17/2006
Last updated
01/11/2024
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