Individual
MRS. PEGGY D WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3161 CUSTER DR, STE 4, LEXINGTON, KY 40517-4067
(859) 253-1686
(859) 254-2743
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1217
(859) 253-1686
(859) 254-2743
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1033207
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
10/15/2007
Last updated
10/15/2007
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