Organization
ASHLAND HOSPITAL COPORATION
Active
Other names
Kings Daughters Medical Center Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MARKS (CEO)
(606) 408-4000
Entity
Organization
Contact information
Practice address
1061 KENWOOD DR, RUSSELL, KY 41169-1527
(606) 408-3143
(606) 325-8486
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
02/05/2024
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