| Kings Daughters Medical Center Behavioral Health | |
|
1061 Kenwood Dr Russell KY 41169-1527 | |
| (606) 408-3143 | |
| (606) 325-8486 |
| Full Name | Kings Daughters Medical Center Behavioral Health |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1061 Kenwood Dr, Russell, Kentucky |
| Authorized Official Name and Position | Sara Marks (CEO) |
| Authorized Official Contact | 6064084000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Daughters Medical Center Behavioral Health Po Box 1595 Ashland KY 41105-1595 Ph: (606) 408-6200 | Kings Daughters Medical Center Behavioral Health 1061 Kenwood Dr Russell KY 41169-1527 Ph: (606) 408-3143 |
| NPI Number | 1629854302 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629854302 | NPI | - | NPPES |
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