# KINGS DAUGHTERS MEDICAL SPECIALTIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kings Daughters Medical Specialities Physical Medicine and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710215736
- **Authorized official:** SARA MARKS (CEO/PRESIDENT)
- **Authorized official phone:** (606) 408-4401

## Contact information

- **Practice address:** 1279 OLD ABBOTT MOUNTAIN RD, PRESTONSBURG, KY 41653-1889
- **Practice address phone:** (606) 886-1260
- **Practice address fax:** (606) 886-0892
- **Mailing address:** PO BOX 2379, ASHLAND, KY 41105-2379
- **Mailing address phone:** (606) 408-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 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