| NPI | 1184912453 |
|---|---|
| Doing Business As | KINGS DAUGHTERS MEDICAL SPECIALTIES NEPHROLOGY |
| Entity Type | Organization |
| Authorized Contact | KRISTIE M WHITLATCH CEO/President 606-408-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2017-07-19 |