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Organization
ASHLAND HOSPITAL COPORATION
Active
Organization
ASHLAND HOSPITAL COPORATION
Active
Other names
Kings Daughters Medical Center Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MARKS (CEO)
(606) 408-4000
Entity
Organization
Contact information
Practice address
1061 KENWOOD DR, RUSSELL, KY 41169-1527
(606) 408-3143
(606) 325-8486
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
02/05/2024
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