DR. KELLY LYNN WHITAKER (NPI# 1558514489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558514489 |
| Entity Type | Individual |
| Full Name | DR. KELLY LYNN WHITAKER |
| Credential | PHARMD, CDE |
| Practice Address |
2670 New Holt Rd Ste D Paducah KY 42001-7506 |
| Practice Telephone | 2704447070 |
| Mailing Telephone | 2704447070 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
20410432 | KY | Nursing Service Providers |
| N | 183500000X | Pharmacist | 011861 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578111092 | Kelly Kay Whitaker | Nurse Practitioner | 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563 | 2019-08-28 |
| 1386932028 | Kelly M Whitaker | Nurse Practitioner | 201 S 10th St, Mascoutah, IL 62258-1736 | 2011-07-15 |
| Street Address |
2670 NEW HOLT RD STE D |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-7506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932426020 | Jones Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2670 New Holt Rd Ste D, Suite D, Paducah, KY 42001-7506 | 2010-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821593625 | Cassandra Lewis | Registered Nurse | 1826 Cliffview Ln, Florence, KY 41042-2549 | 2018-03-26 |
| 1114420577 | Jeri Hayden | Registered Nurse | 739 Heywood Ave, Louisville, KY 40208-1221 | 2018-03-13 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1679088173 | Donna Teegarden | Registered Nurse | 429 Frankfort St, Brooksville, KY 41004-8312 | 2017-12-06 |
| 1093254930 | Jessica Thomas Mcmaine | Registered Nurse | 740 S Limestone Kentucky Clinic, 2nd Floor, Wing D, Suite J201, Lexington, KY 40536-0284 | 2017-02-13 |
| 1992244834 | Dee Anna Deakins Sawyer | Registered Nurse | 800 Rose Street, Chandler Medical Center, University of Kentucky, Lexington, KY 40536 | 2017-02-13 |
| 1700171592 | Edwards Health Care Services, Inc | Registered Nurse | 9400 Williamsburg Plaza, Suite 210, Louisville, KY 40222-5098 | 2011-06-09 |
| 1376000711 | Jessica Sweat | Registered Nurse | 1740 Nicholasville Rd, Lexington, KY 40503-1431 | 2019-02-21 |
| 1598258923 | Guscilla Johnson | Registered Nurse | 1006 Ford Ave, Owensboro, KY 42301-4677 | 2018-06-11 |
| 1447767298 | Nicole M May | Registered Nurse | 1740 Nicholasville Rd, Lexington, KY 40503-1431 | 2018-01-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.