Individual
MARY JANE WHITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-4027
(859) 572-3618
(859) 572-2326
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(513) 312-2247
(859) 572-2326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01087962A
IN
207P00000X
Emergency Medicine Physician
Primary
55799
KY
Other
Enumeration date
05/31/2017
Last updated
11/17/2023
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