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KINGS DAUGHTERS MEDCIAL SPECIALTIES INC NPI 1174967871


NPI Information

NPI: 1174967871
Provider Name: KINGS DAUGHTERS MEDCIAL SPECIALTIES INC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 18D0899141

Address:
617 23RD ST STE 19
ASHLAND, KY
ZIP 41101
Phone: (606) 325-2221
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KINGS DAUGHTERS MEDCIAL SPECIALTIES INC is a hematology and oncology internal medicine in Ashland, KY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. KINGS DAUGHTERS MEDCIAL SPECIALTIES INC NPI is 1174967871. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

617 23RD ST STE 19
ASHLAND, KY
ZIP 41101-845
Phone: (606) 325-2221
Fax: (606) 324-1326

The provider's authorized official is Sara Marks .
The authorized official title is Ceo/president and has the following contact phone number (606) 408-4000.

The CLIA number assigned to this NPI record is 18D0899141 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2013 and was last updated on 4/9/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyYes
22086X0206XSurgerySurgical OncologyNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10084242MEDICAIDOHIO
27100244850MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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