| NPI | 1285970608 |
|---|---|
| Doing Business As | KINGS DAUGHTERS MEDICAL SPECIALTIES - EMERGENCY CARE SERVIC |
| Entity Type | Organization |
| Authorized Contact | KRISTIE M WHITLATCH CEO/President 606-408-0417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2014-10-09 |