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NPI Code Detail

MEDICARE: MARLYCE R HILL-ALI MD

MEDICARE: MARLYCE R HILL-ALI MD
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
1207R00000XInternal Medicine Physician39221KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972578813
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLYCE R HILL-ALI MD
Provider Business Mailing Address
First Line : 2406 W BROADWAY
Second Line : STE 130
City : LOUISVILLE
State : KY
Zip : 40211-1008
Country : US
Telephone Number : 502-775-1211
Fax Number : 502-775-1221
Provider Business Practice Location Address
First Line : 2406 W BROADWAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40211-1008
Country : US
Telephone Number : 502-775-1211
Fax Number : 502-775-1221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 12/19/2012

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