Individual
JENNIFER KELLY WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 N DIXON RD, KOKOMO, IN 46901-4154
(765) 236-8320
Mailing address
138 N DIXON RD, KOKOMO, IN 46901-4154
(765) 236-8320
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
F08250842
IN
363LF0000X
Family Nurse Practitioner
Primary
71017312A
IN
Other
Enumeration date
09/09/2025
Last updated
12/10/2025
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