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Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INTERVENTIONAL SPINE
Active
Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INTERVENTIONAL SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE WHITLATCH (CEO/PRESDIENT)
(606) 408-4401
Entity
Organization
Contact information
Practice address
617 23RD ST STE 8B, ASHLAND, KY 41101-2845
(606) 408-1290
(606) 408-6640
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-1290
(606) 408-6640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
NULL
207LP3000X
Pediatric Anesthesiology Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/13/2018
Last updated
10/20/2023
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