Individual
KRISTIN K WHITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5360 HIGHLAND RD, BATON ROUGE, LA 70808-6548
(225) 757-1023
Mailing address
5360 HIGHLAND RD, BATON ROUGE, LA 70808-6548
(225) 603-0563
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP06072
LA
363LF0000X
Family Nurse Practitioner
Primary
06072
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102664
—
LA
Enumeration date
04/21/2010
Last updated
01/18/2019
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