NPI | 1265063580 |
---|---|
Doing Business As | KINGS DAUGHTERS MEDICAL SPECIALTIES DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | KRISTIE WHITLATCH CEO 606-408-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2020-01-27 |
Last Update Date | 2020-02-27 |