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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