Individual
DR. KERRY E. WHITTEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
154 WARREN ST, GLENS FALLS, NY 12801-4526
(518) 798-9985
Mailing address
154 WARREN ST, GLENS FALLS, NY 12801-4526
(518) 798-9985
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
263814
NY
208000000X
Pediatrics Physician
7470006-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03418802
—
NY
Enumeration date
11/24/2008
Last updated
12/20/2021
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