Marley, Kim R

Marley, Kim R is an individual health care provider with primary practice located at 438 Old Farm Ln , Johnstown PA 15904-3646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Marley, Kim R can be contacted via phone (814) 243-3365.

Contact Information

Primary practice address
438 Old Farm Ln Johnstown PA 15904-3646
Phone: (814) 243-3365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD425474 Pennsylvania

Profile Details

NPI number 1457336042
LBN Legal business name Marley, Kim R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Feb 25th, 2019 - about 5 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 1457336042 NPPES
Pennsylvania MEDICAID 101222472
Pennsylvania Other 1691647

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