Organization
KINGS DAUGHTERS MEDCIAL SPECIALTIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MARKS (CEO/PRESIDENT)
(606) 408-4000
Entity
Organization
Contact information
Practice address
617 23RD ST STE 19, ASHLAND, KY 41101-2845
(606) 325-2221
(606) 324-1326
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2086X0206X
Surgical Oncology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084242
—
OH
05
—
7100244850
—
KY
Enumeration date
04/24/2013
Last updated
06/04/2024
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