NPI 1306240049

Marshall Lifestyle Medicine, Psc

Organisation General Practice Physician Lexington, KY

Practice location

Address: 2251 War Admiral Way Suite 125, Lexington, KY 40509-2546
Phone: (859) 608-4841
Mailing address: 2105 Wicksbury Pl, Lexington, KY 40515-1168

Authorised official

Name: Michael Kitchen
Title: Chief Operating Officer
Phone: (859) 608-4841

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Kentucky →

Registry record

NPI: 1306240049
Entity type: Organization
NPI issued: 9 Oct 2014
Record last updated: 9 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.