| NPI | 1861718199 |
|---|---|
| Doing Business As | KINGS DAUGHTERS MEDICAL SPECIATIES GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | KRISTIE WHITLATCH CEO/President 606-408-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2022-03-31 |