Individual
NATHAN DAVID WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 HIGH POINT CT, MT WASHINGTON, KY 40047-6560
(502) 955-6129
(502) 955-8161
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45443
KY
208000000X
Pediatrics Physician
45443
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100134070
—
KY
01
—
K059800
MEDICARE- NORTON MEDICAL ASSOCIATES
KY
Enumeration date
04/09/2008
Last updated
01/22/2021
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