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Mr. Kelly nmn Marcum, NP

NPI Number 1619973930

Practice Location

  • 2931 S Hwy 260
    Overgaard, AZ 85933
  • Phone: (928) 536-3616
  • Fax: (928) 536-3615

Business Location

  • 8494 Lost Trl
    Snowflake, AZ 85937
  • Phone: (928) 536-7098
  • Fax: (928) 536-3615

Other Information

  • Enumeration date: 06/22/2005
  • Last updat date: 07/08/2007
  • NPI deactivation reason code:
  • NPI deactivation date: 01/01/1970
  • Taxonomy code: 363LF0000X
  • License number: rn036514
  • License number state code: AZ
  • Primary taxonomy switch: Y

Practice Location Map

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NPI number 1619973930 is assigned to Mr. Kelly Nmn Marcum, Np. Mr. Kelly Nmn Marcum, Np is practice in Overgaard, AZ 85933 with phone number 9285367098. The number of page view of Mr. Kelly Nmn Marcum, Np is 37.

The NPI number above is maintained by the NPPES. To update the information please contact the National Plan & Provider Enumeration System.

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