NPI | 1053643981 |
---|---|
Doing Business As | KINGS DAUGHTERS MEDICAL SPECIALTIES ORTHOPEDICS AND SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | KRISTIE WHITLATCH CEO 606-408-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 213E00000X Podiatrist |
363A00000X Physician Assistant | |
363AS0400X Physician Assistant, Surgical | |
363L00000X Nurse Practitioner | |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2010-02-03 |
Last Update Date | 2021-06-02 |