Marshall, Kimberly A
Marshall, Kimberly A is an individual health care provider with primary practice located at 6535 Market Ave N Ste 110 , Canton OH 44721-2487. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Marshall, Kimberly A can be contacted via phone (330) 324-0979.Contact Information
Primary practice address
6535 Market Ave N Ste 110
Canton OH 44721-2487
Phone: (330) 324-0979
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP07741 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | NP07741 | Ohio |
Profile Details
| NPI number | 1710909197 |
|---|---|
| LBN Legal business name | Marshall, Kimberly A |
| Credentials | APRN-CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Oct 30th, 2020 - 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 | 1710909197 | NPPES |
| Ohio | MEDICAID | 2490120 |
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