Doctor Name: | KATHLEEN QUIGLEY WHITNEY |
NPI Number: | 1437587649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA056595 |
Business Practice Address: | 4 Kelly St Suite 7 Archbald, PA - 184031627 |
Business Phone Number: | 5708765826 |
Business Fax Number: | 5708760141 |
Mailing Address: | 212 Center St, COVINGTON TOWNSHIP |
State: | PA |
Postal Code: | 184247815 |
Phone Number: | 5704993675 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2013 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MA056595 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |