| Kings Daughters Medical Specialties Neurology Group | |
|
617 23rd St Ste 400 Ashland KY 41101 | |
| (606) 408-2820 | |
| (606) 326-0235 |
| Full Name | Kings Daughters Medical Specialties Neurology Group |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 617 23rd St Ste 400, Ashland, Kentucky |
| Authorized Official Name and Position | Sara Marks (CEO/PRESIDENT) |
| Authorized Official Contact | 6064084000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Daughters Medical Specialties Neurology Group Po Box 2379 Ashland KY 41105-2379 Ph: (606) 408-6200 | Kings Daughters Medical Specialties Neurology Group 617 23rd St Ste 400 Ashland KY 41101 Ph: (606) 408-2820 |
| NPI Number | 1558653618 |
|---|---|
| Provider Enumeration Date | 05/09/2011 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558653618 | NPI | - | NPPES |
| 3153260 | Medicaid | OH | |
| 7100167870 | Medicaid | KY |
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