Individual
JEFFREY A WHITSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2423
(859) 301-2066
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 655-7160
(859) 655-6742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
29990
KY
208000000X
Pediatrics Physician
29990
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
29990
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
35042699
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0395228
—
OH
05
—
4762016
—
KY
Enumeration date
09/23/2005
Last updated
06/02/2009
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