Individual
DR. CHARLES ELRIDGE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21476
KY
207R00000X
Internal Medicine Physician
Primary
21476
KY
2083X0100X
Occupational Medicine Physician
21476
KY
Other
Enumeration date
11/24/2006
Last updated
07/13/2021
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