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General NPI Number Information
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NPI Number | 1699565176
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Entity Type | Organization
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Legal Business Name | KINGS DAUGHTERS MEDICAL SPECIALTIES INC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 706 23RD ST
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City | ASHLAND
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State | KY
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Zip | 41101-2832
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Country | US
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Telephone | 606-329-0060
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Fax | 606-325-9366
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Provider Business Mailing Address
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Address Line | PO BOX 2379
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City | ASHLAND
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State | KY
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Zip | 41105-2379
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Country | US
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Telephone | 606-408-6200
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Fax | 606-408-6612
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | SARA MARKS
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Credential |
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Telephone | 606-408-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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