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Organization
DANIEL E WHITNEY DPM PSC
Active
Organization
DANIEL E WHITNEY DPM PSC
Active
Other names
Kentucky Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL K WHITNEY (BUSINESS MANAGER)
(502) 968-2233
Entity
Organization
Contact information
Practice address
4612 OUTER LOOP, LOUISVILLE, KY 40219-3971
(502) 968-2233
(502) 968-2283
Mailing address
4612 OUTER LOOP, LOUISVILLE, KY 40219-3971
(502) 968-2233
(502) 968-2283
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00271
KY
213ES0131X
Foot Surgery Podiatrist
00271
KY
332BC3200X
Customized Equipment (DME)
00271
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054674
PASSPORT
KY
01
—
1157245
DME PASSPORT
KY
01
—
2433706000
PASSPORT ADVANTAGE
KY
05
—
80903495
—
KY
05
—
80903735
—
KY
05
—
90004722
—
KY
01
—
CC9003
RAILROAD MEDICARE
KY
Enumeration date
12/13/2006
Last updated
01/07/2013
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