| NPI | 1811270010 |
|---|---|
| Doing Business As | KINGS DAUGHTERS MEDICAL SPECIALTIES RUSSELL |
| Entity Type | Organization |
| Authorized Contact | PAUL L MCDOWELL Vice President Finance 606-408-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KY 700229) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-12-07 |