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Organization

KINGS DAUGHTERS MEDICAL SPECIALTIES INC.,

Active
Other names
Kings Daughters Medical Specialites -Gynecology
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIE M WHITLATCH (CEO/PRESIDENT)
(606) 408-4401
Entity
Organization

Contact information

Practice address
2245 WINCHESTER AVE STE 1, ASHLAND, KY 41101-7848
(606) 324-2554
(606) 324-2581
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
KY
208800000X
Urology Physician
363L00000X
Nurse Practitioner
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0055090
OH
Enumeration date
09/20/2011
Last updated
06/09/2017
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