MR. KEVIN M WHALLEY MD
NPI 1104909274
Orthopaedic Surgery in Grenada, MS

Active since October 23, 2006
965 JK AVENT DR, SUITE 103, GRENADA, MS 38901(662) 226-4088(662) 226-0198 Get Directions Write a Review

NPPES record last updated: June 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kevin M Whalley Md NPPES

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

MR. KEVIN M WHALLEY MD (NPI 1104909274) is an individual orthopaedic surgery provider in Grenada, Mississippi, licensed in Mississippi (14578) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104909274
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMR. KEVIN M WHALLEYCredential: MD
Location Address965 JK AVENT DR, SUITE 103Grenada, MS 38901
Mailing Address965 Jk Avent Dr, Suite 103Grenada, MS 38901 · (662) 226-4088 · Fax (662) 226-0198
Fax(662) 226-0198
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateJune 6, 2008
NPI 1104909274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MS · 14578
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
965 JK AVENT DR, Grenada, MS 38901

Other Identifiers 3

Medicaid00115400MS
Medicare UPINF28555
Medicare PIN200000223MS

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 Kevin Whalley's NPI number?

The NPI number for Kevin Whalley is 1104909274. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Kevin Whalley located?

Kevin Whalley practices at 965 Jk Avent Dr Suite 103, Grenada, MS 38901. The listed phone number is (662) 226-4088.

What is Kevin Whalley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Kevin Whalley was last updated on June 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.