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Organization

KINGS DAUGHTERS MEDICAL SPECIALTIES INC

Active
Other names
Kings Daughters Medical Specialities - Neurosurgical Specialist
Organization subpart
No

Provider details

NPI number
Authorized official
SARA MARKS (CEO/PRESIDENT)
(606) 408-4401
Entity
Organization

Contact information

Practice address
617 23RD ST STE 106, ASHLAND, KY 41101-2880
(606) 408-2820
(606) 329-1768
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
KY
2084N0400X
Neurology Physician
KY
363A00000X
Physician Assistant
KY
363L00000X
Nurse Practitioner
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3002413
OH
05
7100103420
KY
Enumeration date
12/11/2009
Last updated
06/02/2025
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