NPI | 1285916916 |
---|---|
Doing Business As | KINGS DAUGHTERS MEDICAL SPECIALITES -GYNECOLOGY |
Entity Type | Organization |
Authorized Contact | KRISTIE M WHITLATCH CEO/President 606-408-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 208800000X Urology |
363L00000X Nurse Practitioner | |
Enumeration Date | 2011-09-20 |
Last Update Date | 2017-06-09 |