KINGS DAUGHTERS MEDICAL SPECIALTIES INC NPI 1972830404

NPI Information

NPI: 1972830404
Provider Name: KINGS DAUGHTERS MEDICAL SPECIALTIES INC

Doing Business As: KINGS DAUGHTERS MEDICAL SPECIALTIES BLUEGRASS UROLOGY

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
336 29TH ST STE 101
ASHLAND, KY
ZIP 41101
Phone: (606) 324-4404
Get Directions

KINGS DAUGHTERS MEDICAL SPECIALTIES INC is a cardiovascular disease internal medicine in Ashland, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. KINGS DAUGHTERS MEDICAL SPECIALTIES INC NPI is 1972830404. 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 Bluegrass Urology.

The provider's business location address is:

336 29TH ST STE 101
ASHLAND, KY
ZIP 41101-976
Phone: (606) 324-4404
Fax: (606) 326-1159

The provider's authorized official is Kristie Whitlatch .
The authorized official title is Ceo and has the following contact phone number (606) 408-4000.

The enumeration date for this NPI number is 11/4/2009 and was last updated on 3/17/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes
3	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
4	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
5	207RG0100X	Internal Medicine	Gastroenterology	No
6	207RH0003X	Internal Medicine	Hematology & Oncology	No
7	207RN0300X	Internal Medicine	Nephrology	No
8	207RP1001X	Internal Medicine	Pulmonary Disease	No
9	207T00000X	Neurological Surgery		No
10	2084P0800X	Psychiatry & Neurology	Psychiatry	No
11	208600000X	Surgery		No
12	2086S0122X	Surgery	Plastic and Reconstructive Surgery	No
13	208800000X	Urology		No
14	363A00000X	Physician Assistant		No
15	363L00000X	Nurse Practitioner		No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7100103390	MEDICAID	KENTUCKY
2	3002468	MEDICAID	OHIO
3	3810016581	MEDICAID	WEST VIRGINIA

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

NPI Synchronization or Removal

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