Individual
JOHN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 NATCHEZ TRACE AVE, BOWLING GREEN, KY 42103-7940
(270) 782-7800
(270) 843-0779
Mailing address
PO BOX 90007, BOWLING GREEN, KY 42102-9007
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R4608
KY
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
58023
KY
207XS0117X
Orthopaedic Surgery of the Spine Physician
DR.0068029
CO
Other
Enumeration date
03/29/2017
Last updated
04/05/2024
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