| Kings Daughters - Charles Russell Elementary | |
|
1100 Russell St Ashland KY 41101-6472 | |
| (606) 408-8921 | |
| (606) 408-8908 |
| Full Name | Kings Daughters - Charles Russell Elementary |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 Russell St, Ashland, Kentucky |
| Authorized Official Name and Position | Sara Marks (CEO/PRESIDENT) |
| Authorized Official Contact | 6064084401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Daughters - Charles Russell Elementary Po Box 1595 Ashland KY 41105-1595 Ph: (606) 408-6200 | Kings Daughters - Charles Russell Elementary 1100 Russell St Ashland KY 41101-6472 Ph: (606) 408-8921 |
| NPI Number | 1548711070 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 06/16/2023 |
| Certification Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548711070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kentucky) | Primary |
| 363A00000X | Physician Assistant | (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | (Kentucky) | Secondary |
Ovp Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 Carter Ave, Ashland, KY 41101 Phone: 304-429-1088 |
George Carl Borst III PSC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 St.christopher Drive, Ashland, KY 41101 Phone: 606-324-1101 Fax: 606-324-0404 |
Hazel Yang, M.D. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 Carter Ave, Ashland, KY 41101 Phone: 606-325-1894 Fax: 606-325-9193 |
Malcolm H. King, PSC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 Lexington Ave, Suite 205, Ashland, KY 41101 Phone: 606-325-9633 Fax: 606-325-9634 |
Bellefonte Pediatrics, Ashland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2910 Carter Ave, Ashland, KY 41101 Phone: 606-326-9001 Fax: 606-326-9005 |
Kings Daughters - Boyd County High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14375 Lions Ln, Ashland, KY 41102 Phone: 606-408-8920 Fax: 606-408-8908 |