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KINGS DAUGHTERS MEDICAL SPECIALTIES INC NPI 1558653618


NPI Information

NPI: 1558653618
Provider Name: KINGS DAUGHTERS MEDICAL SPECIALTIES INC

Doing Business As: KINGS DAUGHTERS MEDICAL SPECIALTIES NEUROLOGY GROUP

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

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 neurology psychiatry neurology in Ashland, KY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. KINGS DAUGHTERS MEDICAL SPECIALTIES INC NPI is 1558653618. 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 Neurology Group.

The provider's business location address is:

617 23RD ST STE 400
ASHLAND, KY
ZIP 41101
Phone: (606) 408-2820
Fax: (606) 326-0235

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 5/9/2011 and was last updated on 5/8/2021.


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
1207RI0200XInternal MedicineInfectious DiseaseNo
22084N0400XPsychiatry & NeurologyNeurologyYes
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo

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
13153260MEDICAIDOHIO
27100167870MEDICAIDKENTUCKY

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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