Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | SC005829 | PA |
N | 222Z00000X | Podiatrist | SC005829 | PA |
Y | 213ES0103X | Foot & Ankle Surgery | 00357 | KY |
N | 213ES0103X | Foot & Ankle Surgery | E4735 | CA |
NPI | 1063492429 |
---|---|
Provider Name | Heather L. Whitesel |
First Address | Lexington, KY 40536-0284 |
Second Address | Lexington, KY 40536-0284 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 07/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013619680 | (05) | PA |
7100103670 | (05) | KY |
V05963 | (02) | |
V05963 | (02) | PA |