Provider Demographics
NPI:1740583889
Name:MARSH, GAY M (CPM)
Entity Type:Individual
Prefix:MS
First Name:GAY
Middle Name:M
Last Name:MARSH
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 BELVEDERE DR
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-5608
Mailing Address - Country:US
Mailing Address - Phone:765-623-4851
Mailing Address - Fax:
Practice Address - Street 1:1516 BELVEDERE DR
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-5608
Practice Address - Country:US
Practice Address - Phone:765-623-4851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife