Kingston, Mark B
Kingston, Mark B is an individual health care provider with primary practice located at 203 S Water St , Louisa KY 41230-1387. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Kingston, Mark B can be contacted via phone (606) 638-4504.Contact Information
Primary practice address
203 S Water St
Louisa KY 41230-1387
Phone: (606) 638-4504
Fax: (606) 638-4186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 20555 | Kentucky |
Profile Details
| NPI number | 1942296405 |
|---|---|
| LBN Legal business name | Kingston, Mark B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Nov 11th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942296405 | NPPES |
| Kentucky | MEDICAID | 64205552 | |
| Kentucky | MEDICAID | 0049452000 |
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