Dr Kelly Lynn Whitaker, PHARMD, CDE is a
Registered Nurse - Diabetes Educator based in Paducah, Kentucky. Dr Kelly Lynn Whitaker is licensed to practice in Kentucky (license number 20410432) and her current practice location is
2670 New Holt Rd Ste D, Paducah, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 444-7070.
NPI number for Dr Kelly Lynn Whitaker is 1558514489 and her current mailing address is 2670 New Holt Rd Ste D, Paducah, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558514489.
Healthcare Provider's Profile
Full Name | Dr Kelly Lynn Whitaker |
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Gender | Female |
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Speciality | Registered Nurse - Diabetes Educator |
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Location | 2670 New Holt Rd Ste D, Paducah, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558514489
- Provider Enumeration Date: 10/22/2008
- Last Update Date: 12/04/2019
Medical Identifiers
Medical identifiers for Dr Kelly Lynn Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558514489 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 011861 (Kentucky) | Secondary |
163WD0400X | Registered Nurse - Diabetes Educator | 20410432 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Lynn Whitaker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kelly Lynn Whitaker, PHARMD, CDE 2670 New Holt Rd Ste D, Paducah, KY 42001-7506 Ph: (270) 444-7070 | Dr Kelly Lynn Whitaker, PHARMD, CDE 2670 New Holt Rd Ste D, Paducah, KY 42001-7506 Ph: (270) 444-7070 |
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