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Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Specialities Physical Medicine and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MARKS (CEO/PRESIDENT)
(606) 408-4401
Entity
Organization
Contact information
Practice address
1279 OLD ABBOTT MOUNTAIN RD, PRESTONSBURG, KY 41653-1889
(606) 886-1260
(606) 886-0892
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/02/2009
Last updated
08/28/2024
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