| NPI | 1720397409 |
|---|---|
| Doing Business As | KINGS DAUGHTERS MEDICAL SPECIALTIES - PLASTIC & RECONSTRUCTIVE SURGEON |
| Entity Type | Organization |
| Authorized Contact | KRISTIE WHITLATCH CEO/President 606-408-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2019-01-11 |