Kathryn Renee Marshall in South Jordan - Physician Assistant
Kathryn Renee Marshall - NPI 1174683775
Kathryn Renee Marshall is a Physician Assistant in South Jordan, Utah. Kathryn Renee Marshall practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kathryn Renee Marshall is 1174683775. The last update date is 2016-12-30.
Kathryn Renee Marshall's current location address is 10623 S Redwood Rd, South Jordan, Utah. You can contact this provider via phone number 8015664242. The mailing address for Kathryn Renee Marshall is 10623 S Redwood Rd, South Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Renee Marshall |
|---|---|
| Address | 10623 S Redwood Rd, South Jordan, Utah |
| Phone Number | 8015664242 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1174683775 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2016-12-30 |
Provider Mailing Address Detail
| Address | 10623 S Redwood Rd |
|---|---|
| City | South Jordan |
| State | Utah (UT) |
| Post Code | 840952481 |
| Phone Number | 8015664242 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10142002-120 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Kathryn Renee Marshall by the Centers for Medicare & Medicaid Services (CMS)?
The Kathryn Renee Marshall has been assigned the NPI (National Provider Identifier) 1174683775. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kathryn Renee Marshall's physical address?
The Kathryn Renee Marshall is physically located at 10623 S Redwood Rd, in the city of South Jordan, UT, with the postal code 840952481.
What is Kathryn Renee Marshall's area of expertise and its corresponding taxonomy classification?
The Kathryn Renee Marshall's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174683775 to Kathryn Renee Marshall?
The Centers for Medicare & Medicaid Services originally issued the 1174683775 to Kathryn Renee Marshall on 2006-12-12.
As of what date were the details related to Kathryn Renee Marshall most recently updated or revised?
The information pertaining to Kathryn Renee Marshall, including its address, specialty, and other relevant details, was last updated or revised on 2016-12-30.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC