Provider Demographics
NPI:1073959623
Name:MARSHALL, KRISTEN (DVM)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2470 SW 37TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1376
Mailing Address - Country:US
Mailing Address - Phone:803-397-4821
Mailing Address - Fax:
Practice Address - Street 1:8500 ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4604
Practice Address - Country:US
Practice Address - Phone:703-752-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0301203150174M00000X
PABV013424174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian