Provider Demographics
NPI:1568648756
Name:MARSH, COURTNEY A (MD)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:A
Last Name:MARSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 411851
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64141-1851
Mailing Address - Country:US
Mailing Address - Phone:913-588-6261
Mailing Address - Fax:913-945-7437
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MS 2028
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-6261
Practice Address - Fax:913-945-7437
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301096149207VE0102X
KS04-36697207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology