DR. Marlon Gaines, PA

NPI #1629073093 in Shelbyville, Kentucky

Provider Information

NPI Number: 1629073093
Entity Type: Individual
Name: DR. Marlon Gaines, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 14, 2005
Last Updated: Feb 27, 2008

Practice Location

Address: 727 HOSPITAL DR
City: Shelbyville
State: Kentucky
ZIP Code: 40065-1660
Phone: (502) 647-4347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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