| Kings Daughters - Ponderosa Elementary | |
|
16701 Ponderosa Dr Catlettsburg KY 41129-9046 | |
| (606) 408-8920 | |
| (606) 408-8908 |
| Full Name | Kings Daughters - Ponderosa Elementary |
|---|---|
| Speciality | Family Medicine |
| Location | 16701 Ponderosa Dr, Catlettsburg, Kentucky |
| 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 - Ponderosa Elementary Po Box 1595 Ashland KY 41105-1595 Ph: (606) 408-6200 | Kings Daughters - Ponderosa Elementary 16701 Ponderosa Dr Catlettsburg KY 41129-9046 Ph: (606) 408-8920 |
| NPI Number | 1922559392 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 10/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922559392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kentucky) | Primary |
| 363A00000X | Physician Assistant | (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | (Kentucky) | Secondary |
King's Daughters Caltettsburg Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10015 Us 23, Catlettsburg, KY 41129 Phone: 606-739-6095 Fax: 606-739-8252 | |
Kings Daughters - Catlettsburg Elementary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3348 Court St, Catlettsburg, KY 41129 Phone: 606-408-9920 Fax: 606-408-8908 |