Whitaker, Kerry

Whitaker, Kerry is an individual health care provider with primary practice located at 20 W. Kaley Street , Orlando FL 32806-2931. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Whitaker, Kerry can be contacted via phone (407) 423-2581.

Contact Information

Primary practice address
20 W. Kaley Street Orlando FL 32806-2931
Phone: (407) 423-2581
Fax: (407) 849-6470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 484 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PAX00002031 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3516 Florida

Profile Details

NPI number 1164405114
LBN Legal business name Whitaker, Kerry
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Apr 25th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164405114 NPPES
Florida MEDICAID 023753200

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