NPI 1891911566

Carol Renee Marcum

Practitioner Specialist Manchester, KY

Practice location

Address: 155 Mize Branch Rd, Manchester, KY 40962-6632
Phone: (606) 598-4667

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence KY-R1597 (KY)

Other Specialist providers in Kentucky →

Registry record

NPI: 1891911566
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2007
Record last updated: 8 Jul 2007

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.