Provider Demographics
NPI:1831571926
Name:NIXON MARSHALL, KAYLA E (MD)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:E
Last Name:NIXON MARSHALL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:259 E ERIE ST STE 2450
Mailing Address - Street 2:LAVIN FAMILY PAVILION
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3926
Mailing Address - Country:US
Mailing Address - Phone:312-694-6447
Mailing Address - Fax:312-472-6580
Practice Address - Street 1:259 E ERIE ST STE 2450
Practice Address - Street 2:LAVIN FAMILY PAVILION
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3926
Practice Address - Country:US
Practice Address - Phone:312-694-6447
Practice Address - Fax:312-472-6580
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2023-05-01
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Provider Licenses
StateLicense IDTaxonomies
MN61159207V00000X
IL036.148442207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology