Doctor Name: | KELLY WHETSTONE |
NPI Number: | 1225283153 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP60048667 |
Business Practice Address: | Washington State University Wilson Rd, Pullman Pullman, WA - 991640001 |
Business Phone Number: | 5093355293 |
Business Fax Number: | |
Mailing Address: | Health And Wellness Services Washington, Po Box 642302 PULLMAN |
State: | WA |
Postal Code: | 991642302 |
Phone Number: | 5093355293 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2008 |
NPI Last Update Date: | 06/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP60048667 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |