Look up the most recent NPI and PECOS records

Kings Daughters Medical Specialties Inc

(<Unavail>)

Family Medicine

Allopathic & Osteopathic Physicians

2201 Lexington Ave, Ashland, KY 41101-2843

PECOS Enrollment

Based on the most recent information from CMS, provider Kings Daughters Medical Specialties Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1669791323
Provider Type
Organization
Full Name
Kings Daughters Medical Specialties Inc
Other Name
<Unavail>

Subpart
No
Enumeration Date
5/20/2010
Last Updated
11/16/2020

Contact Information

Practice Location

2201 Lexington Ave, Ashland, KY 41101-2843

(606) 408-4000

Unlisted Fax

Mailing Location

PO Box 2379, Ashland, KY 41105-2379

(606) 408-4000

Unlisted Fax

Authorized Official

Whitlatch, Kristie M (Ceo/President)

(606) 408-4401

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 204C00000X	Description Neuromusculoskeletal Medicine, Sports Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207QA0505X	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RC0200X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RI0200X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2080N0001X	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084B0040X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084P0802X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer Kentucky

Provider Identifiers

ID	Description	Issuer
ID 3810016581	Description Medicaid	Issuer Unlisted West Virginia
ID 7100119290	Description Medicaid	Issuer Unlisted Kentucky
ID 3053556	Description Medicaid	Issuer Unlisted Ohio
ID 7100180750	Description Medicaid	Issuer Unlisted Kentucky

Kings Daughters Medical Specialties Inc

(<Unavail>)

PECOS Enrollment

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