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Kenneth E Marnocha, MD
Diagnostic Radiology Physician in West Lafayette, Indiana
NPI 1699744342

Kenneth E Marnocha is a Diagnostic Radiology Physician based in Lafayette, IN and is specialized in Diagnostic Radiology. Kenneth E Marnocha practices in West Lafayette, IN and has the professional credentials of MD. The NPI Number for Kenneth E Marnocha is 1699744342 and holds a License No. 01031076A (Indiana).

The current practice location address for Kenneth E Marnocha is 253 Sagamore Pkwy W, West Lafayette, IN and can be reached out via phone at 765-448-8000.

Location: 253 Sagamore Pkwy W, West Lafayette, IN, 47903-5545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699744342
Provider Name
Kenneth E Marnocha
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
253 Sagamore Pkwy W, West Lafayette, IN, 47903-5545
Phone Number
765-448-8000
Fax Number
Provider Enumeration Date
03/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
156682 01 IN PHCS PID NUMBER
10825542 01 IN CAQH NUMBER
000000202120 01 IN ANTHEM PROVIDER NUMBER
100320630 05 IN
institution
Provider Business Practice Location Address Details
Address
253 Sagamore Pkwy W
City
West Lafayette
State
Indiana
Zip
47906-1501
Phone Number
765-448-8000
Fax Number
person
Provider Business Mailing Address Details
Address
253 Sagamore Pkwy W
City
West Lafayette
State
Indiana
Zip
47906-1501
Phone Number
765-448-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
01031076A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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