MEDICARE: MRS. MARIANNE KAY CURRY PA-C, MPAS, RD, LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	4942	OH
2	363A00000X	Physician Assistant	50002079	OH
3	363AM0700X	Medical Physician Assistant	50002079	OH

General Provider Information

NPI Number	:	1568683514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIANNE KAY CURRY PA-C, MPAS, RD, LD

Provider Business Mailing Address
First Line	:	5542 POINTEWOOD CT
Second Line	:
City	:	GALENA
State	:	OH
Zip	:	43021-8575
Country	:	US
Telephone Number	:	740-549-1984
Fax Number	:	740-383-6091

Provider Business Practice Location Address
First Line	:	970 S PROSPECT ST
Second Line	:
City	:	MARION
State	:	OH
Zip	:	43302-6225
Country	:	US
Telephone Number	:	740-382-9293
Fax Number	:	740-383-6091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	01/19/2017

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