KINGS DAUGHTERS MEDICAL SPECIALTIES PRIMARY CARE
NPI 1669791323
Family Medicine in Ashland, KY

Active since May 20, 2010CLIA 36D0678074 · Waiver
2201 LEXINGTON AVE, ASHLAND, KY 41101(606) 408-4000 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2020, Jul 23, 2018 (2 updates tracked since 2018).

About Kings Daughters Medical Specialties Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGS DAUGHTERS MEDICAL SPECIALTIES PRIMARY CARE (NPI 1669791323) is a healthcare organization registered as a family medicine in Ashland, Kentucky and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through August 31, 2026, maintains 4 additional practice locations, and lists Kristie M Whitlatch, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1669791323
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKINGS DAUGHTERS MEDICAL SPECIALTIES INC
Location Address2201 LEXINGTON AVEAshland, KY 41101-2843
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-4000
Organization SubpartNo
Authorized OfficialKristie M WhitlatchCeo/president · (606) 408-4401
Enumeration DateMay 20, 2010
Last NPPES UpdateNovember 16, 20202 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
NPI 1669791323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2201 LEXINGTON AVE, Ashland, KY 41101

Other Names 1

Doing Business AsKings Daughters Medical Specialties Primary Care

Secondary Practice Locations 4

Location 111826 Gallia Pike Rd Ste AWheelersburg, OH 45694-9119 · Phone (740) 574-4526
Location 2617 23rd St, Ste 212Ashland, KY 41101-2880 · Phone (606) 408-4000
Location 3617 23rd St Ste 400Ashland, KY 41101-2880 · Phone (606) 408-4000
Location 41200 Central Ave Ste 2Ashland, KY 41101-7575 · Phone (606) 325-9769 · Fax (606) 329-9301

Other Identifiers 4

Medicaid3810016581WV
Medicaid3053556OH
Medicaid7100180750KY
Medicaid7100119290KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0678074

Kings Daughters Medical Specialties Dr David Provaznik Do · Wheelersburg, OH
Active · expires Aug 31, 2026
CLIA Number36D0678074
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDavid G. Provaznik
Laboratory Phone(740) 574-4526
Laboratory LocationKings Daughters Medical Specialties Dr David Provaznik Do11826 Gallia Pike Suite A, Wheelersburg, OH 45694
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
2201 LEXINGTON AVE
ASHLAND, KY 41101
Nurse Practitioner (Family)
2201 LEXINGTON AVE
ASHLAND, KY 41101
Emergency Medicine
2201 LEXINGTON AVE
ASHLAND, KY 41101
Specialist
2201 LEXINGTON AVE, SUITE 8B
ASHLAND, KY 41101
Nurse Anesthetist, Certified Registered
2201 LEXINGTON AVE
ASHLAND, KY 41101
Pharmacist
2201 LEXINGTON AVE
ASHLAND, KY 41101
Hospitalist
2201 LEXINGTON AVE
ASHLAND, KY 41101
Durable Medical Equipment & Medical Supplies
2201 LEXINGTON AVE
ASHLAND, KY 41101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kings Daughters Medical Specialties Inc's NPI number?

The NPI number for Kings Daughters Medical Specialties Inc is 1669791323. It was assigned to this organization in the NPPES registry on May 20, 2010. The provider is doing business as Kings Daughters Medical Specialties Primary Care.

Where is Kings Daughters Medical Specialties Inc located?

Kings Daughters Medical Specialties Inc is located at 2201 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 408-4000.

What is Kings Daughters Medical Specialties Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Kings Daughters Medical Specialties Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0678074) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kings Daughters Medical Specialties Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 2 other insurers list Kings Daughters Medical Specialties Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kings Daughters Medical Specialties Inc was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.