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Organization

KING'S DAUGHTERS MEDICAL SPECIALTIES, INC.

Active
Parent organization
KING'S DAUGHTERS MEDICAL SPECIALTIES, INC.
Other names
Kings Daughters Medical Specialties - Behavioral Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
KING'S DAUGHTERS MEDICAL SPECIALTIES, INC.
Authorized official
SARA MARKS (PRESIDENT)
(606) 408-4000
Entity
Organization

Contact information

Practice address
1729 KINNEYS LN STE 101, PORTSMOUTH, OH 45662-3166
(740) 529-2440
(740) 529-2442
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
Primary
2084P0802X
Addiction Psychiatry Physician

Other

Enumeration date
06/20/2024
Last updated
06/20/2024
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