National Provider Identifier
Kevin M Whitman
Kevin M Whitman is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Webster, NY and a listed phone number of (585) 456-8394.
Profile Overview
- NPI
- 1578008793
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- December 23, 2016
- Last Updated
- October 02, 2023
Practice Location
- 75 Barrett Dr Unit 115
- Webster, NY 14580-7005
Phone: (585) 456-8394
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
- Emergency Medical Services (Emergency Medicine) Physician (207PE0004X)
Full Record
- NPI
- 1578008793
- Entity Type
- Individual
- Last Name
- Whitman
- First Name
- Kevin
- Middle Name
- M
- Mailing Street Address
- 75 Barrett Dr Unit 115
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-7005
- Mailing Country
- US
- Mailing Phone
- (585) 456-8394
- Mailing Fax
- (585) 299-9825
- Practice Street Address
- 75 Barrett Dr Unit 115
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-7005
- Practice Country
- US
- Practice Phone
- (585) 456-8394
- Practice Fax
- (585) 299-9825
- Enumeration Date
- December 23, 2016
- Last Updated
- October 02, 2023
- Deactivation Date
- August 26, 2021
- Reactivation Date
- December 22, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X), Emergency Medical Services (Emergency Medicine) Physician (207PE0004X)