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King'S Daughters Medical Specialties, Inc.

Organization Active NPI Podiatrist · Ashland, KY

NPI 1366079543 · NPPES record last updated Jun 1, 2020

Key facts

NPI
1366079543
Entity type
Organization (NPI type 2)
Primary specialty
Podiatrist 213E00000X
Legal business name
KING'S DAUGHTERS MEDICAL SPECIALTIES, INC.
Practice address
1000 Ashland Dr Ste 104
Ashland, KY 41101-7092
Phone
(606) 833-6260
Fax
(606) 833-6261
NPI assigned
Mar 26, 2020
Organization subpart
No

Authorized official

Name
Kristie Whitlatch
Title
Ceo
Phone
(606) 408-4401

Other NPIs on the same Medicare enrollment 27

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 27

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100217000538 KY Part B Supplier - Clinic/Group Practice 6103968029 Receives reassigned benefits from 554 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Kings Daughters Medical Specialties Interventional Spine (23 organizations share this tax ID)

Locations

1200 Central Ave
Ste 3
Ashland, KY 41101
Phone (606) 325-1894

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 213E00000X Yes

Addresses

Primary practice location

1000 Ashland Dr Ste 104
Ashland, KY 41101-7092

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200

Other names

  • Kings Daughters Foot Care Doing business as

Other providers in Ashland, KY

All providers in Ashland, KY · Podiatrist in Kentucky

Sources for this page

Verify at the official NPI Registry.