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Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Specialties Urgent Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE M WHITLATCH (CEO/PRESIDENT)
(606) 408-4401
Entity
Organization
Contact information
Practice address
1901 ARGONNE ROAD, PORTSMOUTH, OH 45662
(740) 991-0911
(740) 991-6050
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
OH
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
OH
363L00000X
Nurse Practitioner
—
OH
Other
Enumeration date
01/31/2013
Last updated
10/09/2014
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