Individual provider · Type 1 NPI
Mary Kim Qualls, MSORT/L
Specialist · Nebo, KY
NPI number
1124251178
Active
Practice location
300 Donaldson Rd
Nebo, KY 42441-9339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | KY-R3361 (KY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1124251178
Mary Kim Qualls, MSORT/L's National Provider Identifier is 1124251178, issued on Aug 25, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Nebo, KY. The record was last updated on Aug 25, 2009.