| Kings Daughters Medical Center Ohio Professional Services | |
|
1901 Argonne Rd Portsmouth OH 45662-2827 | |
| (740) 991-4000 | |
| Not Available |
| Full Name | Kings Daughters Medical Center Ohio Professional Services |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 Argonne Rd, Portsmouth, Ohio |
| Authorized Official Name and Position | Kristie M Whitlatch (CEO/PRESIDENT) |
| Authorized Official Contact | 6064084401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Daughters Medical Center Ohio Professional Services Po Box 151 Ashland KY 41105-0151 Ph: (606) 408-4000 | Kings Daughters Medical Center Ohio Professional Services 1901 Argonne Rd Portsmouth OH 45662-2827 Ph: (740) 991-4000 |
| NPI Number | 1366992711 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366992711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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