DR. KELLY LYNN WHITAKER PHARMD, CDE
NPI 1558514489
Registered Nurse - Diabetes Educator in Paducah, KY
Active since October 22, 2008
About Dr. Kelly Lynn Whitaker Pharmd, Cde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY LYNN WHITAKER PHARMD, CDE (NPI 1558514489) is an individual diabetes educator provider in Paducah, Kentucky, licensed in Kentucky (20410432) and active in the NPI registry since October 2008.
NPPES Registry Identity
NPI1558514489
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameDR. KELLY LYNN WHITAKERCredential: PHARMD, CDE
Location Address2670 NEW HOLT RD STE DPaducah, KY 42001-7506
Mailing Address2670 New Holt Rd Ste DPaducah, KY 42001-7506 · (270) 444-7070
Phone(270) 444-7070
Sole ProprietorNo
Enumeration DateOctober 22, 2008
Last NPPES UpdateDecember 4, 2019
✔ NPI 1558514489 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in KY · 20410432
Also ListedPharmacistTaxonomy 183500000X · License 011861 (KY)
2670 NEW HOLT RD STE D, Paducah, KY 42001
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Pharmacy (Community/Retail Pharmacy)
2670 NEW HOLT RD STE D, SUITE D
PADUCAH, KY 42001
PADUCAH, KY 42001
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558514489, enumerated as an "individual" on October 22, 2008.
The provider is located at 2670 NEW HOLT RD STE D PADUCAH, KY 42001 and the phone number is (270) 444-7070.
Registered Nurse with taxonomy code 163WD0400X and a focus in Diabetes Educator.
