Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Specialties - Emergency Care Servic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE M WHITLATCH (CEO/PRESIDENT)
(606) 408-0417
Entity
Organization
Contact information
Practice address
1901 ARGONNE ROAD, PORTSMOUTH, OH 45662
(740) 991-0911
(740) 991-6050
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079064
—
OH
Enumeration date
12/13/2012
Last updated
10/09/2014
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