Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Speciaties Gastroenterology
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 440, ASHLAND, KY 41101-2885
(606) 408-8200
(606) 408-6291
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
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3038957
—
OH
05
—
3810016581
—
WV
05
—
7100113000
—
KY
Enumeration date
04/12/2010
Last updated
12/22/2025
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