Individual
KENNETH DOUGLAS MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 N CAPITOL AVE, INDIANAPOLIS, IN 46204-1004
(317) 631-0420
(317) 631-0454
Mailing address
915 N CAPITOL AVE, INDIANAPOLIS, IN 46204-1004
(317) 631-0420
(317) 631-0454
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01023941
IN
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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