# KINGS DAUGHTERS MEDICAL SPECIALTIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kings Daughters Medical Specialties Urgent Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275871907
- **Authorized official:** KRISTIE M WHITLATCH (CEO/PRESIDENT)
- **Authorized official phone:** (606) 408-4401

## Contact information

- **Practice address:** 1901 ARGONNE ROAD, PORTSMOUTH, OH 45662
- **Practice address phone:** (740) 991-0911
- **Practice address fax:** (740) 991-6050
- **Mailing address:** PO BOX 2379, ASHLAND, KY 41105-2379
- **Mailing address phone:** (606) 408-6200
- **Mailing address fax:** (606) 408-6612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | OH | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | OH | Yes |
| 363L00000X | Nurse Practitioner | — | OH | — |

## Other

- **Enumeration date:** 01/31/2013
- **Last updated:** 10/09/2014