Kerry Whitaker in Orlando - Physician Assistant
Kerry Whitaker - NPI 1164405114
Kerry Whitaker is a Physician Assistant in Orlando, Florida. Kerry Whitaker practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kerry Whitaker is 1164405114. The last update date is 2018-04-25.
Kerry Whitaker's current location address is 20 W. Kaley Street, Orlando, Florida. You can contact this provider via phone number 4074232581 and fax number 4078496470. The mailing address for Kerry Whitaker is 20 W. Kaley Street, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Whitaker |
|---|---|
| Address | 20 W. Kaley Street, Orlando, Florida |
| Phone Number | 4074232581 |
| Fax Number | 4078496470 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1164405114 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2018-04-25 |
Provider Mailing Address Detail
| Address | 20 W. Kaley Street |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328062931 |
| Phone Number | 4074232581 |
| Fax Number | 4078496470 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 484 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23753200 | FL | -- |
Post Comment/ Review Below
What is the Kerry Whitaker's 1164405114?
The Kerry Whitaker's NPI (National Provider Identifier) Number is 1164405114. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kerry Whitaker's facilities are situated?
The facilities of Kerry Whitaker are physically located at the following address: 20 W. Kaley Street, Orlando, FL, 328062931.
What is Kerry Whitaker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kerry Whitaker is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Kerry Whitaker receive its 1164405114 assignment from the Centers for Medicare & Medicaid Services?
The Kerry Whitaker was assigned its 1164405114 by the Centers for Medicare & Medicaid Services on 2005-11-23.
As of what date were the Kerry Whitaker's details last updated?
The information pertaining to the Kerry Whitaker, including its address, specialty, and other details, was most recently updated on 2018-04-25.