Provider Demographics
NPI:1184725020
Name:MARCOTT, RICHARD KENT (DPM)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KENT
Last Name:MARCOTT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 SAND RUN RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-4741
Mailing Address - Country:US
Mailing Address - Phone:330-612-9475
Mailing Address - Fax:
Practice Address - Street 1:1261 SAND RUN RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-4741
Practice Address - Country:US
Practice Address - Phone:330-612-9475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.001647213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist