NPI 1285615401

Marian Jeanne Gorham, MD

Practitioner Anesthesiology Physician Edgewood, KY

Practice location

Address: 1 Medical Village Dr Independent Anesthesiologists Psc, Edgewood, KY 41017-3403
Phone: (859) 341-7246
Fax: (859) 341-7867
Mailing address: 20 Medical Village Dr Suite 258, Edgewood, KY 41017-5401

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 27219 (KY)

Other Anesthesiology providers in Kentucky →

Registry record

NPI: 1285615401
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2005
Record last updated: 20 Feb 2008

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.