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Organization

KINGS DAUGHTERS MEDICAL SPECIALTIES INC.,

Active
Other names
Kings Daughters Medical Specialties Anesthesia
Organization subpart
No

Provider details

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

Contact information

Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
(606) 408-5176
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-4000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
KY
363L00000X
Nurse Practitioner
OH
367500000X
Certified Registered Nurse Anesthetist
KY
367500000X
Certified Registered Nurse Anesthetist
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0072175
OH
05
7100231840
KY
05
7100231890
KY
Enumeration date
08/23/2012
Last updated
08/20/2024
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