Individual
REBECCA WHITWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 LANGDON ST, SOMERSET, KY 42503-2750
(606) 875-5206
Mailing address
350 HOSPITAL WAY, SOMERSET, KY 42503-2872
(606) 451-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59455
KY
Other
Enumeration date
06/11/2019
Last updated
06/21/2024
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