Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Specialties - Plastic & Reconstructive Surgeon
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 105, ASHLAND, KY 41101-2890
(606) 408-7500
(606) 408-6600
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-2600
(606) 408-2606
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100140330
—
KY
Enumeration date
09/29/2010
Last updated
07/22/2024
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