Individual
KELLI GAMBILL WHITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 S 4TH ST, DANVILLE, DANVILLE, KY 40422-2004
(859) 238-0265
Mailing address
176 OLD BRIDGE RD, DANVILLE, DANVILLE, KY 40422-8804
(859) 238-0265
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36424
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64023048
—
KY
Enumeration date
03/31/2006
Last updated
07/08/2007
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