| Doctor Name: | KELLY L WHITEHILL |
| NPI Number: | 1003987009 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN00139765 |
| Business Practice Address: | 3927 Rucker Ave Everett, WA - 982014833 |
| Business Phone Number: | 4253395480 |
| Business Fax Number: | |
| Mailing Address: | 3901 Hoyt Ave, EVERETT |
| State: | WA |
| Postal Code: | 982014918 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SM0705X |
| License Number: | RN00139765 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |