Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Specialties Orthopedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE WHITLATCH (CEO)
(606) 408-4401
Entity
Organization
Contact information
Practice address
613 23RD ST STE G30, ASHLAND, KY 41101-2881
(606) 327-0036
(606) 326-1159
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
OH
213E00000X
Podiatrist
—
KY
363A00000X
Physician Assistant
—
KY
363AS0400X
Surgical Physician Assistant
—
OH
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047812
—
OH
05
—
3810016581
—
WV
05
—
7100112260
—
KY
Enumeration date
02/03/2010
Last updated
06/02/2021
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