Individual
MS. REBECCA J WHITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
45 ROBERTS ST, SOMERSET, KY 42501-1295
(606) 679-4416
(606) 679-4419
Mailing address
500 BOURNE AVE, SOMERSET, KY 42501-1916
(606) 678-4761
(606) 676-9671
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
590P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20901211
—
KY
Enumeration date
04/04/2007
Last updated
01/30/2008
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