Individual
WHITLEY P MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 341-2510
(859) 578-5888
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-2510
(859) 578-5888
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
05743
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
06/27/2024
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