Individual
KATHLEEN QUIGLEY WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1175 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-1093
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA003520
PA
363AM0700X
Medical Physician Assistant
MA056595
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA056595
PENNSYLVANIA DEPARTMENT OF STATE
PA
01
—
OA003520
OSTEOPATHIC PHYSICIAN ASSISTANT LICENSE
PA
Enumeration date
10/25/2013
Last updated
05/07/2025
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