Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Specialities Physical Medicine and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MARKS (CEO/PRESIDENT)
(606) 408-4401
Entity
Organization
Contact information
Practice address
1279 OLD ABBOTT MOUNTAIN RD, PRESTONSBURG, KY 41653-1889
(606) 886-1260
(606) 886-0892
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100103220
—
KY
Enumeration date
12/02/2009
Last updated
08/28/2024
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