MEDICARE: DR. KRISTEN LEA WHITLOCK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	2021-03394	NC
2	390200000X	Student in an Organized Health Care Education/Training Program		NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821594789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTEN LEA WHITLOCK MD

Provider Business Mailing Address
First Line	:	100 DUKE HEALTH CARY PL STE 420
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-6760
Country	:	US
Telephone Number	:	919-385-8321
Fax Number	:	919-385-9786

Provider Business Practice Location Address
First Line	:	100 DUKE HEALTH CARY PL STE 420
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-6760
Country	:	US
Telephone Number	:	919-385-8321
Fax Number	:	919-385-9786

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2018
Last Update Date	:	01/14/2026

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