Provider Demographics
NPI:1750514279
Name:MARQUES, KATHY L (AP)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:L
Last Name:MARQUES
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8533 FRENCH OAK DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-2554
Mailing Address - Country:US
Mailing Address - Phone:407-341-0360
Mailing Address - Fax:
Practice Address - Street 1:7365 ASHLEY PARK COURT
Practice Address - Street 2:SUITE 503-S
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835
Practice Address - Country:US
Practice Address - Phone:407-341-0360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2729171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist