| Doctor Name: | KIMBERLY LYNN MARCHISIN |
| NPI Number: | 1215117619 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 10 E Jordan St West Brevard, NC - 28712 |
| Business Phone Number: | 8288772667 |
| Business Fax Number: | 8288776699 |
| Mailing Address: | 10 E Jordan St West, BREVARD |
| State: | NC |
| Postal Code: | 28712 |
| Phone Number: | 8288772667 |
| Fax Number: | 8288776699 |
| NPI Enumeration Date: | 11/14/2007 |
| NPI Last Update Date: | 11/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Orthotic Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |