Provider Type Icon

KINGS DAUGHTERS MEDICAL SPECIALTIES INC NPI 1720397409


NPI Information

NPI: 1720397409
Provider Name: KINGS DAUGHTERS MEDICAL SPECIALTIES INC

Doing Business As: KINGS DAUGHTERS MEDICAL SPECIALTIES - PLASTIC & RECONSTRUCTIVE SURGEON

Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
617 23RD ST STE 105
ASHLAND, KY
ZIP 41101
Phone: (606) 408-7500
Get Directions

KINGS DAUGHTERS MEDICAL SPECIALTIES INC is a plastic surgery in Ashland, KY. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. KINGS DAUGHTERS MEDICAL SPECIALTIES INC NPI is 1720397409. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kings Daughters Medical Specialties - Plastic & Reconstructive Surgeon.

The provider's business location address is:

617 23RD ST STE 105
ASHLAND, KY
ZIP 41101-890
Phone: (606) 408-7500
Fax: (606) 408-6600

The provider's authorized official is Kristie 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 9/29/2010 and was last updated on 1/11/2019.


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
1208200000XPlastic 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
17100140330MEDICAIDKENTUCKY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.