MARY KIM QUALLS MSORT/L
NPI 1124251178
Specialist in Nebo, KY

Active since August 25, 2009
300 DONALDSON RD, NEBO, KY 42441(270) 249-3910 Get Directions Write a Review

NPPES record last updated: August 25, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Kim Qualls Msort/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KIM QUALLS MSORT/L (NPI 1124251178) is an individual specialist in Nebo, Kentucky, licensed in Kentucky (KY-R3361) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1124251178
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARY KIM QUALLSCredential: MSORT/L
Location Address300 DONALDSON RDNebo, KY 42441-9339
Mailing Address300 Donaldson RdNebo, KY 42441-9339 · (270) 249-3910
Sole ProprietorYes
Enumeration DateAugust 25, 2009
NPI 1124251178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in KY · KY-R3361
Definition

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.

300 DONALDSON RD, Nebo, KY 42441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Qualls's NPI number?

The NPI number for Mary Qualls is 1124251178. It was assigned to this individual provider in the NPPES registry on August 25, 2009.

Where is Mary Qualls located?

Mary Qualls practices at 300 Donaldson Rd, Nebo, KY 42441. The listed phone number is (270) 249-3910.

What is Mary Qualls's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mary Qualls was last updated on August 25, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.