# PAMELA KLUG WHITMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770674665
- **Gender:** F
- **Credential:** MA,CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | A0054 | WV | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 01/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001711216 | BLUE CROSS BLUE SHIELD | WV |
| 01 | — | 151726500 | DEPT OF LABOR | WV |
| 05 | — | 3401020000 | — | WV |
| 01 | — | 640004323 | RAILROAD MEDICARE | WV |