Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Specialties Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE M WHITLATCH (CEO/PRESIDENT)
(606) 408-4401
Entity
Organization
Contact information
Practice address
1200 CENTRAL AVE STE 3, ASHLAND, KY 41101-7575
(606) 325-1894
(606) 325-9193
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3036673
—
KY
05
—
3810016581
—
WV
05
—
7100112610
—
KY
Enumeration date
03/03/2010
Last updated
02/16/2016
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