Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE M WHITLATCH (CEO/PRESIDENT)
(606) 408-4401
Entity
Organization
Contact information
Practice address
613 23RD ST STE 340, ASHLAND, KY 41101-2879
(606) 324-2600
(606) 324-2606
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
KY
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3002459
—
OH
05
—
3810016581
—
WV
05
—
7100133240
—
KY
Enumeration date
12/11/2009
Last updated
12/22/2025
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