Individual
KENT G MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
183738-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-00986
UNITED HEALTHCARE
UT
01
—
107006950102
IHC
UT
01
—
351047
DMBA
UT
01
—
73466
PEHP
UT
05
—
870281028000
—
UT
01
—
870281028MA6
EMIA
UT
01
—
P00048651
PALMETTO
UT
01
—
QM0000068055
ALTIUS
UT
Enumeration date
07/19/2006
Last updated
11/27/2023
Update your record
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