Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Specialities ENT
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE WHITLATCH (CEO/PRESIDENT)
(606) 408-4401
Entity
Organization
Contact information
Practice address
613 23RD ST, STE 420, ASHLAND, KY 41101-2878
(606) 324-2600
(606) 324-2606
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
KY
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810016581
—
WV
05
—
7100103050
—
KY
05
—
9386361
—
OH
Enumeration date
12/01/2009
Last updated
04/06/2022
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