Organization Active NPI

Kentucky Medical Logistics Inc

Doing business as King's Daughters Medical Transport

  • Land Ambulance
  • Ashland, KY
National Provider Identifier
1508095639
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
KENTUCKY MEDICAL LOGISTICS INC
Doing business as
King's Daughters Medical Transport
Practice address
425 22ND Street
Ashland, KY 41102
Phone
(606) 408-2900
Fax
(606) 408-6008
NPI assigned
Jul 10, 2009
Last updated
Aug 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristie M Whitlatch
Title
Ceo/President
Phone
(606) 408-4405

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1673 KY
Land Ambulance 3416L0300X KY Primary
Non-emergency Medical Transport (VAN) 343900000X KY

Addresses

Primary practice location

425 22ND Street
Ashland, KY 41102

Mailing address

425 22ND Street
Ashland, KY 41102
Phone (606) 408-2900

Other names 1

  • King's Daughters Medical Transport Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091214000528 KY Part B Supplier - Ambulance Service Supplier 4880734375 Practice locations: Ashland, KY

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5941 Reliable Pkwy
Chicago, IL 60686

201 W Southland Dr
Ashland, KY 41102
Phone (606) 408-2900

2518 State Route 5
Ashland, KY 41102
Phone (606) 329-1188

399 Diederich Blvd
Ashland, KY 41101
Phone (606) 324-8060

425 22nd St
Ashland, KY 41101
Phone (606) 329-1188

2829 Gallia St
Portsmouth, OH 45662
Phone (740) 354-9204

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1508095639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 22ND STREET",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41102",
            "telephone_number": "606-408-2900",
            "fax_number": "606-408-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 22ND STREET",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41102",
            "telephone_number": "606-408-2900",
            "fax_number": "606-408-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY MEDICAL LOGISTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "WHITLATCH",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "606-408-4405"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1673",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King's Daughters Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.