NPIMap

Organization Active NPI

Kings Daughters Medical Specialties Inc

Doing business as Kings Daughters Medical Speciaties Gastroenterology

  • Gastroenterology Physician
  • Ashland, KY
National Provider Identifier
1861718199
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Doing business as
Kings Daughters Medical Speciaties Gastroenterology
Practice address
613 23Rd St Ste 440
Ashland, KY 41101-2885
Phone
(606) 408-8200
Fax
(606) 408-6291
NPI assigned
Apr 12, 2010
Last updated
Dec 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Critical Care Medicine Nurse Practitioner 363LC0200X NU
Internal Medicine Physician 207R00000X NU
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

613 23Rd St Ste 440
Ashland, KY 41101-2885

Mailing address

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

Other practice location 1

214 Collins Ave Ste A
South Point, OH 45680-3506
Phone (606) 408-8200

Other practice location 2

2001 Scioto Trl Ste 200
Portsmouth, OH 45662-2845
Phone (740) 353-8100

Other practice location 3

1729 Kinneys Ln Ste 203
Portsmouth, OH 45662-3167
Phone (740) 354-2942

Other practice location 4

1279 Old Abbott Mountain Rd
Prestonsburg, KY 41653-1889

Other practice location 5

391 W Tom T Hall Blvd
Olive Hill, KY 41164-7688
Phone (606) 408-8200

Other practice location 6

1000 Ashland Dr Ste 302
Ashland, KY 41101-7003
Phone (606) 408-8200

Other practice location 7

609 N Carol Malone Blvd Ste 105
Grayson, KY 41143-1123
Phone (606) 408-8200

Other identifiers 3

IdentifierTypeStateIssuer
7100113000MedicaidKY
3810016581MedicaidWV
3038957MedicaidOH

Other names 1

  • Kings Daughters Medical Speciaties Gastroenterology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100114000813 OH Part B Supplier - Clinic/Group Practice 6103968029 Receives reassigned benefits from 181 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wheelersburg, OH; Waverly, OH; South Point, OH; Portsmouth, OH; Lucasville, OH; Jackson, OH; Ironton, OH; Franklin Furance, OH
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

Other NPIs on the same Medicare enrollment 33

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

View all 33

National Provider Directory

National Provider Directory

Locations

1729 Kinneys Ln
Ste 203
Portsmouth, OH 45662
Phone (606) 324-7351

214 Collins Ave
Ste A
South Point, OH 45680
Phone (606) 408-8200

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1861718199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE 440",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012885",
            "telephone_number": "606-408-8200",
            "fax_number": "606-408-6291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Collins Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "South Point",
            "state": "OH",
            "postal_code": "456803506",
            "country_code": "US",
            "telephone_number": "606-408-8200",
            "fax_number": "606-408-6291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Scioto Trl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456622845",
            "country_code": "US",
            "telephone_number": "740-353-8100",
            "fax_number": "740-353-8908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1729 Kinneys Ln Ste 203",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456623167",
            "country_code": "US",
            "telephone_number": "740-354-2942",
            "fax_number": "740-353-3661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1279 Old Abbott Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531889",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "391 W Tom T Hall Blvd",
            "address_purpose": "LOCATION",
            "city": "Olive Hill",
            "state": "KY",
            "postal_code": "411647688",
            "country_code": "US",
            "telephone_number": "606-408-8200",
            "fax_number": "606-408-6291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Ashland Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017003",
            "country_code": "US",
            "telephone_number": "606-408-8200",
            "fax_number": "606-408-6290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 N Carol Malone Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431123",
            "country_code": "US",
            "telephone_number": "606-408-8200",
            "fax_number": "606-408-6291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGS DAUGHTERS MEDICAL SPECIALTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "WHITLATCH",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "606-408-4401"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100113000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810016581",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3038957",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kings Daughters Medical Speciaties Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kings Daughters Medical Speciaties Gastroenterology",
            "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 Dec 22, 2025; 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.