| Kings Daughters Medical Specialties Interventional Spine | |
|
617 23rd St Ste 8b Ashland KY 41101-2845 | |
| (606) 408-1290 | |
| (606) 408-6640 |
| Full Name | Kings Daughters Medical Specialties Interventional Spine |
|---|---|
| Speciality | Anesthesiology - Pain Medicine |
| Location | 617 23rd St Ste 8b, Ashland, Kentucky |
| Authorized Official Name and Position | Kristie Whitlatch (CEO/PRESDIENT) |
| Authorized Official Contact | 6064084401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Daughters Medical Specialties Interventional Spine Po Box 2379 Ashland KY 41105-2379 Ph: (606) 408-1290 | Kings Daughters Medical Specialties Interventional Spine 617 23rd St Ste 8b Ashland KY 41101-2845 Ph: (606) 408-1290 |
| NPI Number | 1740763945 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740763945 | NPI | - | NPPES |
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