KINGS DAUGHTERS MEDICAL SPECIALTIES INC (NPI# 1720397409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720397409 |
| Entity Type | Organization |
| Organization Name | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| Other Organization Name | KINGS DAUGHTERS MEDICAL SPECIALTIES - PLASTIC & RECONSTRUCTIVE SURGEON |
| Practice Address |
617 23rd St Ste 105 Ashland KY 41101-2890 |
| Mailing Address |
Po Box 2379 Ashland KY 41105-2379 |
| Practice Telephone | 6064087500 |
| Practice Fax Number | 6064086600 |
| Mailing Telephone | 6064082600 |
| Mailing Fax Number | 6064082606 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | KRISTIE WHITLATCH (CEO/PRESIDENT) |
| Authorized Official Telephone | 6064084401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100140330 | 05 |
| Other Name | Type Code |
|---|---|
| Kings Daughters Medical Specialties - Plastic & Reconstructive Surgeon | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 Scioto Trl Ste 200, Portsmouth, OH 456622845 | 7403538100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285970608 | Kings Daughters Medical Specialties Inc | Nurse Practitioner | 1901 Argonne Road, Portsmouth, OH 45662 | 2012-12-13 |
| 1356664486 | Kings Daughters Medical Specialties Inc | Physician Assistant | 1200 Central Ave Ste 3, Ashland, KY 41101-7575 | 2010-03-03 |
| 1467781997 | Kings Daughters Medical Specialties Inc | Nurse Practitioner | 617 23rd St Ste 400, Ashland, KY 41101-2880 | 2009-12-11 |
| 1972830404 | Kings Daughters Medical Specialties Inc | Internal Medicine | 336 29th St Ste 101, Ashland, KY 41101-1976 | 2009-11-04 |
| 1275871907 | Kings Daughters Medical Specialties Inc | Family Medicine | 1901 Argonne Road, Portsmouth, OH 45662 | 2013-01-31 |
| 1811270010 | Kings Daughters Medical Specialties Inc | Family Medicine | 399 Diederich Blvd, Ashland, KY 41101 | 2011-09-23 |
| 1184912453 | Kings Daughters Medical Specialties Inc | Internal Medicine | 613 23rd St Ste 130, Ashland, KY 41101-2876 | 2011-07-20 |
| 1558653618 | Kings Daughters Medical Specialties Inc | Internal Medicine | 617 23rd St Ste 400, Ashland, KY 41101 | 2011-05-09 |
| 1215238662 | Kings Daughters Medical Specialties Inc | Nurse Practitioner | 613 23rd St Ste G10, Ashland, KY 41101-2886 | 2010-11-16 |
| 1669791323 | Kings Daughters Medical Specialties Inc | Pediatrics | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2010-05-20 |
| Street Address |
617 23RD ST STE 105 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447217328 | Pho M. Nguyen | Radiology | 617 23rd St Ste 105, Ashland, KY 41101-2890 | 2006-04-26 |
| 1073893822 | Peter Anthony Andolina | Plastic Surgery | 617 23rd St Ste 105, Ashland, KY 41101-2890 | 2011-08-25 |
| 1861580946 | William B Rogers IIi | Plastic Surgery | 617 23rd St Ste 105, Ashland, KY 41101-2890 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093937468 | Margo S Herron | Plastic Surgery | 638 N Main St Ste C, Ashland, OR 97520-1887 | 2007-05-03 |
| 1538146691 | Martin Alan Kassan | Plastic Surgery | 1536 Winchester Ave, Suite 304, Ashland, KY 41101-7662 | 2005-12-29 |
| 1073893822 | Peter Anthony Andolina | Plastic Surgery | 617 23rd St Ste 105, Ashland, KY 41101-2890 | 2011-08-25 |
| 1518258847 | Elizabeth Institute, LLC | Plastic Surgery | 638 N Main St, Suite C, Ashland, OR 97520-1887 | 2011-04-20 |
| 1194904490 | Ashland Plastic Surgery Inc Psc | Plastic Surgery | 617 23rd St, Ashland, KY 41101-2880 | 2007-11-02 |
| 1376604140 | Bruce N. Reynolds, Md, LLC | Plastic Surgery | 280 Maple Street, Ashland, OR 97520-1552 | 2006-12-13 |
| 1861580946 | William B Rogers IIi | Plastic Surgery | 617 23rd St Ste 105, Ashland, KY 41101-2890 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235544602 | Ashley Boustany | Plastic Surgery | University of Ky 800 Rose St, Lexington, KY 40536-0001 | 2014-06-24 |
| 1952720880 | Commonwealth Plastic Surgery, Pllc | Plastic Surgery | 715 Shaker Dr Ste 100, Lexington, KY 40504-3674 | 2014-04-08 |
| 1366885675 | Morgan Brgoch | Plastic Surgery | Uk Surgery Clinic - Plastic Surgery, 740 S Limestone Ste E101, Lexington, KY 40536-0284 | 2013-04-17 |
| 1861752909 | Frank Ryan Wermeling | Plastic Surgery | 4001 Kresge Way Ste 220, Louisville, KY 40207-4640 | 2012-05-23 |
| 1578879300 | Anil Duggal | Plastic Surgery | 740 S Limestone St E101, Lexington, KY 40536-4412 | 2010-08-31 |
| 1518287044 | Sonata Plastic Surgery, Pllc | Plastic Surgery | 3260 Blazer Pkwy, Suite 102, Lexington, KY 40509-2116 | 2010-06-07 |
| 1982924817 | Ashley Rawson Kerekes | Plastic Surgery | 511 Robinbrooke Blvd, Suite 100, Elizabethtown, KY 42701-5904 | 2010-06-02 |
| 1245464387 | John Bradley Turner | Plastic Surgery | 3288 Eagle View Ln, Suite 300, Lexington, KY 40509-9020 | 2009-05-04 |
| 1164688909 | Stephen Alexander Schantz | Plastic Surgery | 3288 Eagle View Ln Ste 300, Lexington, KY 40509-9019 | 2008-07-31 |
| 1144492638 | Theodore L. Gerstle | Plastic Surgery | 3363 Tates Creek Rd Ste 209, Lexington, KY 40502 | 2008-03-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.