Marshall, Kenneth

Marshall, Kenneth is an individual health care provider with primary practice located at 445 E Dublin Granville Rd , Worthington OH 43085-3192. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Marshall, Kenneth can be contacted via phone (614) 436-7837.

Contact Information

Primary practice address
445 E Dublin Granville Rd Worthington OH 43085-3192
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1790321230
LBN Legal business name Marshall, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2019
Last updated Nov 19th, 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 1790321230 NPPES
Ohio MEDICAID 010684796

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