Whitaker, Peggy D
Whitaker, Peggy D is an individual health care provider with primary practice located at 3161 Custer Dr Ste 4, Lexington KY 40517-4067. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Whitaker, Peggy D can be contacted via phone (859) 253-1686.Contact Information
Primary practice address
3161 Custer Dr Ste 4
Lexington KY 40517-4067
Phone: (859) 253-1686
Fax: (859) 254-2743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 1033207 | Kentucky |
Profile Details
| NPI number | 1326236423 |
|---|---|
| LBN Legal business name | Whitaker, Peggy D |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2007 |
| Last updated | Oct 15th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326236423 | NPPES |
| Kentucky | MEDICAID | 30615058 |
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