Individual
TIMOTHY E WHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 S 3RD ST, DANVILLE, KY 40422-1823
(859) 239-1220
(859) 239-6719
Mailing address
PO BOX 52750, KNOXVILLE, TN 37950-2750
(865) 766-8897
(865) 766-8874
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36425
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000063422
BCBS GROUP
KY
05
—
64059124
—
KY
Enumeration date
04/08/2006
Last updated
03/01/2012
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