| Doctor Name: | KATHY J MARSHALL |
| NPI Number: | 1356460463 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA00046 |
| Business Practice Address: | 255 Fm 51b Kemah, TX - 77565 |
| Business Phone Number: | 2815352439 |
| Business Fax Number: | 2815352823 |
| Mailing Address: | 709 Hidden Oak Ln, FRIENDSWOOD |
| State: | TX |
| Postal Code: | 775466091 |
| Phone Number: | 2817704916 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 02/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA00046 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |