Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC.,
Active
Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC.,
Active
Other names
Kings Daughters Medical Oncology - Portsmouth Cancer Care Assoicates
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE M WHITLATCH (CEO/PRESIDENT)
(606) 408-4401
Entity
Organization
Contact information
Practice address
916 11TH ST, PORTSMOUTH, OH 45662-3411
(740) 353-4884
(740) 353-8798
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080771
—
OH
05
—
7100259110
—
KY
Enumeration date
03/06/2013
Last updated
10/09/2014
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