Individual
MR. DARWIN PATRICK WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
234 BRENWOOD ST, BEREA, KY 40403-1637
(859) 985-0302
Mailing address
207 CLEAR FORK BR, HAZARD, KY 41701-6481
(606) 216-8257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA361
KY
Other
Enumeration date
09/23/2005
Last updated
10/31/2015
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