Individual
DR. KELLY WHITEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 PROFESSIONAL BLVD STE 200, EVANSVILLE, IN 47714-8011
(812) 469-3703
Mailing address
1510 W FRANKLIN ST, EVANSVILLE, IN 47710-1032
(812) 424-0223
(812) 424-0226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01051111A
IN
Other
Enumeration date
01/19/2007
Last updated
02/07/2018
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