Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Specialties Pulmonary
Organization subpart
No
Provider details
NPI number
Authorized official
KRISITE WHITLATCH (CEO/PRESIDENT)
(606) 408-4401
Entity
Organization
Contact information
Practice address
613 23RD ST STE G10, ASHLAND, KY 41101-2886
(606) 408-5864
(606) 408-6499
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
OH
207RP1001X
Pulmonary Disease Physician
Primary
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
OH
363L00000X
Nurse Practitioner
—
KY
363LA2200X
Adult Health Nurse Practitioner
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3118245
—
OH
05
—
7100148800
—
KY
05
—
7100161220
—
KY
Enumeration date
11/16/2010
Last updated
11/02/2023
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