NPI | 1467781997 |
---|---|
Doing Business As | KINGS DAUGHTERS MEDICAL SPECIALITIES - NEUROSURGICAL SPECIALIST |
Entity Type | Organization |
Authorized Contact | KRISTIE M WHITLATCH CEO/President 606-408-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2009-12-11 |
Last Update Date | 2022-06-27 |