Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Kim Qualls, MSORT/L

Individual provider Specialist · NPI 1124251178

Mary Kim Qualls, MSORT/L is a Specialist in Nebo, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2009

Practice location Address checks out

300 Donaldson Rd
Nebo, KY 42441-9339
Phone: (270) 249-3910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence KY-R3361 (KY)

Record details

NPI number1124251178
Entity typeIndividual (Type 1)
GenderMale
Credentials MSORT/L
Sole proprietorYes
NPI enumeratedAugust 25, 2009
Last updated in NPPESAugust 25, 2009