NPI | 1215238662 |
---|---|
Doing Business As | KINGS DAUGHTERS MEDICAL SPECIALTIES PULMONARY |
Entity Type | Organization |
Authorized Contact | KRISITE WHITLATCH CEO/President 606-408-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
2080P0214X Pediatrics, Pediatric Pulmonology | |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
363L00000X Nurse Practitioner | |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2010-11-16 |
Last Update Date | 2023-11-02 |