Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 41183 | KY |
N | 207VG0400X | Gynecologist | 41183 | KY |
N | 207VX0000X | Obstetrician | 41183 | KY |
NPI | 1326269374 |
---|---|
Provider Name | Miriam Brown Marcum |
First Address | Lexington, KY 40536-3215 |
Second Address | Lexington, KY 40508-2678 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 07/08/2020 |