Healthcare Provider Details

I. General information

NPI: 1518306935
Provider Name (Legal Business Name): STANLEY DARRELL MARLOWE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2013
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 BALL PARK RD
HARLAN KY
40831-1701
US

IV. Provider business mailing address

81 BALL PARK RD
HARLAN KY
40831-1701
US

V. Phone/Fax

Practice location:
  • Phone: 606-573-8100
  • Fax:
Mailing address:
  • Phone: 606-573-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number03990
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0116026055
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: