Marshall, Kimberly P.
Marshall, Kimberly P. is an individual health care provider with primary practice located at 1302 Franklin Ave Ste 2500 , Normal IL 61761-6526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Marshall, Kimberly P. can be contacted via phone (309) 268-2727.Contact Information
Primary practice address
1302 Franklin Ave Ste 2500
Normal IL 61761-6526
Phone: (309) 268-2727
Fax: (309) 268-6513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Illinois |
Profile Details
| NPI number | 1255353603 |
|---|---|
| LBN Legal business name | Marshall, Kimberly P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1255353603 | NPPES |
| Other | 5723019 | BLUE CROSS BLUE SHIELD |
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