Most Relevant Information
Provider Data
| NPI Number: | 1003273863 |
| Provider Name: | KELLYN MARSHALL RN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 202008505NP-PP |
Most Important Dates
| Enumeration Date: | 01/25/2016 |
| Last Updated: | 03/28/2024 |
Provider Practice Location
208 OAK ST STE 208
ASHLAND
OR
975201828
Practice Location Phone/Fax
| Phone: | 5416562279 |
| Fax: | 5413149627 |
Provider Mailing Location
208 OAK ST STE 208
ASHLAND
OR
975201828
Provider Mailing Phone/Fax
| Phone: | 5416562279 |
| Fax: | 5413149627 |