Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Specialties Russell
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL L MCDOWELL (VICE PRESIDENT - FINANCE)
(606) 408-4000
Entity
Organization
Contact information
Practice address
399 DIEDERICH BLVD, ASHLAND, KY 41101
(606) 326-0470
(606) 326-0474
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-4000
(606) 326-0474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
KY
261QP2300X
Primary Care Clinic/Center
Primary
700229
KY
Other
Enumeration date
09/23/2011
Last updated
12/07/2011
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