Marshall, Kathleen M

Marshall, Kathleen M is an individual health care provider with primary practice located at 582 New Loudon Rd , Latham NY 12110-4029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Marshall, Kathleen M can be contacted via phone (518) 389-7133.

Contact Information

Primary practice address
582 New Loudon Rd Latham NY 12110-4029
Phone: (518) 389-7133
Fax: (518) 782-7155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 332707 New York

Profile Details

NPI number 1619977949
LBN Legal business name Marshall, Kathleen M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Aug 10th, 2010 - about 15 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 1619977949 NPPES
New York MEDICAID 02041541

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