MEDICARE: MARSHALL KITRON

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	101YM0800X	Mental Health Counselor	ALC05908	AL

General Provider Information

NPI Number	:	1578418018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHALL KITRON

Provider Business Mailing Address
First Line	:	1401 STEVEN DR
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35226-2125
Country	:	US
Telephone Number	:	205-775-7757
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 PROVIDENCE PARK STE 150
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-7704
Country	:	US
Telephone Number	:	205-775-7757
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ MARSHALL KITRON ” Practice Location

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