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KINGS DAUGHTERS MEDICAL SPECIALTIES INC NPI 1467781997


NPI Information

NPI: 1467781997
Provider Name: KINGS DAUGHTERS MEDICAL SPECIALTIES INC

Doing Business As: KINGS DAUGHTERS MEDICAL SPECIALITIES - NEUROSURGICAL SPECIALIST

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
617 23RD ST STE 400
ASHLAND, KY
ZIP 41101
Phone: (606) 408-2820
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KINGS DAUGHTERS MEDICAL SPECIALTIES INC is a neurological surgery in Ashland, KY. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. KINGS DAUGHTERS MEDICAL SPECIALTIES INC NPI is 1467781997. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Kings Daughters Medical Specialities - Neurosurgical Specialist.

The provider's business location address is:

617 23RD ST STE 400
ASHLAND, KY
ZIP 41101-880
Phone: (606) 408-2820
Fax: (606) 329-1768

The provider's authorized official is Kristie M Whitlatch .
The authorized official title is Ceo/president and has the following contact phone number (606) 408-4401.

The enumeration date for this NPI number is 12/11/2009 and was last updated on 6/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyKENTUCKYNo
2363A00000XPhysician AssistantKENTUCKYNo
3363L00000XNurse PractitionerKENTUCKYNo
4207T00000XNeurological SurgeryKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100103420MEDICAIDKENTUCKY
23002413MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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