Marsh, Kevin Kip

Marsh, Kevin Kip is an individual health care provider with primary practice located at 2715 E Battlefield St , Springfield MO 65804-3981. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Marsh, Kevin Kip can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
2715 E Battlefield St Springfield MO 65804-3981
Phone: (866) 389-2727
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2003018972 Missouri

Profile Details

NPI number 1104810506
LBN Legal business name Marsh, Kevin Kip
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Mar 15th, 2017 - about 9 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 1104810506 NPPES
Missouri MEDICAID 42873101

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