Individual
KAYLAE B WHISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
830 THOMAS MORE PKWY, SUITE 200 B, EDGEWOOD, KY 41017-5102
(859) 301-8686
(859) 301-8690
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-3383
(859) 578-2013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006112
KY
363LF0000X
Family Nurse Practitioner
3006112
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457662215
—
OH
05
—
7100213540
—
KY
01
—
P01258707
RAIL ROAD MEDICARE
KY
Enumeration date
06/27/2010
Last updated
09/12/2018
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