| 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 |