Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 273160 | NY |
N | 111NI0900X | Internist | 273160 | NY |
N | 207R00000X | Internist | 39417 | MT |
N | 111NI0900X | Internist | 39417 | MT |
Y | 207RG0300X | Geriatric Medicine | 2019-00296 | NC |
NPI | 1063646586 |
---|---|
Provider Name | Kathleen Blaney Marshall |
First Address | Asheville, NC 28803-1916 |
Second Address | Asheville, NC 28803-1916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2009 |
Last Update Date | 15/03/2021 |