Individual
JOHN ERIC WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD CANDIDATE
Contact information
Practice address
500 S PRESTON ST RM 305, LOUISVILLE, KY 40202-1702
(502) 852-8696
Mailing address
6415 SHERLOCK WAY, LOUISVILLE, KY 40228-1111
(502) 919-1867
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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