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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457336042 | NPPES |
| Pennsylvania | MEDICAID | 101222472 | |
| Pennsylvania | Other | 1691647 |
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