KENNETH ARMISTICE MARRIOTT

SCOTT AIR FORCE BASE, IL
NPI1902893183
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TX  N8121)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: VA  0101236229)
Enumeration Date2005-10-03
Last Update Date2012-02-09
Business Address
Dr. KENNETH ARMISTICE MARRIOTT M.D.
375TH MEDICAL GROUP 310 W LOSEY
SCOTT AIR FORCE BASE, IL 62225
Phone number: 618-256-7595
Mailing Address
Dr. KENNETH ARMISTICE MARRIOTT M.D.
215 W MAIN ST
LEBANON, IL 62254-1533
Phone number: 618-256-7595