Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Specialties Neurology Group
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 400, ASHLAND, KY 41101
(606) 408-2820
(606) 326-0235
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
207RI0200X
Infectious Disease Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3153260
—
OH
05
—
7100167870
—
KY
Enumeration date
05/09/2011
Last updated
05/23/2024
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