Individual
MR. DEVIN MILES WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
858 EASTERN BYP, RICHMOND, KY 40475-2512
(859) 626-0072
(859) 626-9684
Mailing address
858 EASTERN BYP, RICHMOND, KY 40475-2512
(859) 626-0072
(859) 626-9684
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009392
KY
363LF0000X
Family Nurse Practitioner
3009392
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100388860
—
KY
Enumeration date
05/19/2015
Last updated
05/10/2016
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