Organization
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Active
Other names
Kings Daughters Medical Specialties Bluegrass Urology
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE WHITLATCH (CEO)
(606) 408-4000
Entity
Organization
Contact information
Practice address
336 29TH ST STE 101, ASHLAND, KY 41101-1976
(606) 324-4404
(606) 326-1159
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 324-4404
(606) 325-6822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3002468
—
OH
05
—
3810016581
—
WV
05
—
7100103390
—
KY
Enumeration date
11/04/2009
Last updated
01/27/2025
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