# KINGS DAUGHTERS MEDICAL SPECIALTIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kings Daughters Medical Specialties Endocrinology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356664486
- **Authorized official:** KRISTIE M WHITLATCH (CEO/PRESIDENT)
- **Authorized official phone:** (606) 408-4401

## Contact information

- **Practice address:** 1200 CENTRAL AVE STE 3, ASHLAND, KY 41101-7575
- **Practice address phone:** (606) 325-1894
- **Practice address fax:** (606) 325-9193
- **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 |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 03/03/2010
- **Last updated:** 02/16/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3036673 | — | KY |
| 05 | — | 3810016581 | — | WV |
| 05 | — | 7100112610 | — | KY |