NPI | 1104420595 |
---|---|
Doing Business As | KINGS DAUGHTERS MEDICAL CENTER ASHLAND PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | SARA MARKS CEO 606-408-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-11-25 |
Last Update Date | 2024-01-25 |