Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Specialties Nephrology
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 130, ASHLAND, KY 41101-2876
(606) 329-9335
(606) 324-6383
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 324-6612
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100175280
—
KY
Enumeration date
07/20/2011
Last updated
07/19/2017
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