Healthcare Provider Details

I. General information

NPI: 1346168747
Provider Name (Legal Business Name): LATANIA KAYE MARSHALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TONI KAYE MARSHALL

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 W. DERBY STREET
OXFORD NE
68967
US

IV. Provider business mailing address

502 W. DERBY STREET
OXFORD NE
68967
US

V. Phone/Fax

Practice location:
  • Phone: 308-824-3283
  • Fax: 308-824-3356
Mailing address:
  • Phone: 308-824-3283
  • Fax: 308-824-3356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: