NPI | 1275871907 |
---|---|
Doing Business As | KINGS DAUGHTERS MEDICAL SPECIALTIES URGENT CARE SERVICES |
Entity Type | Organization |
Authorized Contact | KRISTIE M WHITLATCH CEO/President 606-408-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2013-01-31 |
Last Update Date | 2014-10-09 |