person
Mark B Kingston JR., MD
General Practice Physician in Louisa, Kentucky
NPI 1942296405

Mark B Kingston JR. is a General Practice Physician based in Louisa, KY. Mark B Kingston JR. practices in Louisa, KY and has the professional credentials of MD. The NPI Number for Mark B Kingston JR. is 1942296405 and holds a License No. 20555 (Kentucky).

The current practice location address for Mark B Kingston JR. is 203 S Water St, Louisa, KY and can be reached out via phone at 606-638-4504 and via fax at 606-638-4186. You can also correspond with Mark B Kingston JR. through the mailing address at 203 S WATER ST, LOUISA, KY - 41230-1387 (mailing address contact number: 606-638-4504).

Location: 203 S Water St, Louisa, KY, 41230-1387
person
Provider Profile Details
NPI Number
1942296405
Provider Name
Mark B Kingston JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
203 S Water St, Louisa, KY, 41230-1387
Phone Number
606-638-4504
Fax Number
606-638-4186
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64205552 05 KY
0049452000 05 WV
institution
Provider Business Practice Location Address Details
Address
203 S Water St
City
State
Zip
41230-1387
Phone Number
606-638-4504
Fax Number
606-638-4186
person
Provider Business Mailing Address Details
Address
203 S Water St
City
State
Zip
41230-1387
Phone Number
606-638-4504
Fax Number
606-638-4186
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
20555 (Kentucky)
Definition
Definition to come...
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