NPI | 1497083539 |
---|---|
Doing Business As | KINGS DAUGHTERS MEDICAL SPECIALITIES ENT |
Entity Type | Organization |
Authorized Contact | KRISTIE WHITLATCH CEO/President 606-408-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Additional Taxonomies | 207R00000X Internal Medicine |
363AM0700X Physician Assistant, Medical | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2009-12-01 |
Last Update Date | 2022-04-06 |