Marcum, Krissy L

Marcum, Krissy L is an sole proprietor health care provider with primary practice located at 104 S Front Ave , Prestonsburg KY 41653-1614. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Marcum, Krissy L can be contacted via phone (606) 886-8572.

Contact Information

Primary practice address
104 S Front Ave Prestonsburg KY 41653-1614
Fax: (606) 886-4433
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 3005331 Kentucky

Profile Details

NPI number 1922282078
LBN Legal business name Marcum, Krissy L
Credentials APRN, CNM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2007
Last updated Nov 16th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922282078 NPPES
Kentucky MEDICAID 7100031580

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