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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1710909197 NPPES
Ohio MEDICAID 2490120

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