DR. KELLY LYNN WHITAKER PHARMD CDE NPI 1558514489

NPI Information

NPI: 1558514489
Provider Name: DR. KELLY LYNN WHITAKER, PHARMD, CDE
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
2670 NEW HOLT RD STE D
PADUCAH, KY
ZIP 42001
Phone: (270) 444-7070
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DR. Kelly Lynn Whitaker, PHARMD, CDE is a diabetes educator registered nurse in Paducah, KY. DR. Kelly Lynn Whitaker, PHARMD, CDE NPI is 1558514489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2670 NEW HOLT RD STE D
PADUCAH, KY
ZIP 42001-506
Phone: (270) 444-7070

The enumeration date for this NPI number is 10/22/2008 and was last updated on 12/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	183500000X	Pharmacist		011861	KENTUCKY	No
2	163WD0400X	Registered Nurse	Diabetes Educator	20410432	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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