Kings Daughters Medical Specialties Inc | |
617 23rd St Ste 400 Ashland KY 41101-2880 | |
(606) 408-2820 | |
(606) 329-1768 |
Full Name | Kings Daughters Medical Specialties Inc |
---|---|
Speciality | Neurological Surgery |
Location | 617 23rd St Ste 400, Ashland, Kentucky |
Authorized Official Name and Position | Kristie M Whitlatch (CEO/PRESIDENT) |
Authorized Official Contact | 6064084401 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kings Daughters Medical Specialties Inc Po Box 2379 Ashland KY 41105-2379 Ph: (606) 408-6200 | Kings Daughters Medical Specialties Inc 617 23rd St Ste 400 Ashland KY 41101-2880 Ph: (606) 408-2820 |
NPI Number | 1467781997 |
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Provider Enumeration Date | 12/11/2009 |
Last Update Date | 06/27/2022 |
Certification Date | 06/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467781997 | NPI | - | NPPES |
7100103420 | Medicaid | KY | |
3002413 | Medicaid | OH |
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