Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY KIM QUALLS, MSORT/L
Active Sole ProprietorMARY KIM QUALLS, MSORT/L is a Specialist healthcare provider located in NEBO, Kentucky. NPI 1124251178 is currently active in the NPPES registry. Verify at CMS.
Specialist · NEBO, KY
Registration Details
- NPI Number
- 1124251178
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2009 (16.964366728633 yrs)
- Last Updated
- Aug 25, 2009
- License
-
KY-R3361 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 DONALDSON RDNEBO, KY, 424419339Browse KY providers · Browse ZIP 42441
- Phone
- 2702493910
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.