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KERRY WHITAKER P.A.
NPI 1164405114
Physician Assistant in Orlando, FL

Active since November 23, 2005
20 W. KALEY STREET, ORLANDO, FL 32806(407) 423-2581(407) 849-6470 Get Directions Write a Review

NPPES record last updated: April 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2018, Mar 15, 2017 (2 updates tracked since 2017).

About Kerry Whitaker P.a. NPPES

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

KERRY WHITAKER P.A. (NPI 1164405114) is an individual physician assistant in Orlando, Florida, licensed in Florida (PA3516) and active in the NPI registry since November 2005. He maintains a secondary practice location in Saint Augustine.

NPPES Registry Identity

NPI1164405114
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKERRY WHITAKERCredential: P.A.
Location Address20 W. KALEY STREETOrlando, FL 32806-2931
Mailing Address20 W. Kaley StreetOrlando, FL 32806-2931 · (407) 423-2581 · Fax (407) 849-6470
Phone(407) 423-2581
Fax(407) 849-6470
Sole ProprietorNo
Enumeration DateNovember 23, 2005
Last NPPES UpdateApril 25, 20182 updates tracked since enumeration
✔ NPI 1164405114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in FL · PA3516✔ Licensed in AL · PA 484
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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PAX00002031 (FL)
20 W. KALEY STREET, Orlando, FL 32806
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Secondary Practice Location 1

Location 1200 San Sebastian VwSaint Augustine, FL 32084-8695 · Phone (904) 209-3250 · Fax (904) 825-6875

Other Identifiers 1

Medicaid023753200FL

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 Kerry Whitaker's NPI number?

The NPI number for Kerry Whitaker is 1164405114. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Kerry Whitaker located?

Kerry Whitaker practices at 20 W. Kaley Street, Orlando, FL 32806. The listed phone number is (407) 423-2581.

What is Kerry Whitaker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kerry Whitaker was last updated on April 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.