Healthcare Provider Details

I. General information

NPI: 1295666584
Provider Name (Legal Business Name): WHITNEY EARLY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 WHITE DOGWOOD DR
BOWLING GREEN KY
42101-7536
US

IV. Provider business mailing address

1860 GREEN VALLEY RD
GLASGOW KY
42141-8264
US

V. Phone/Fax

Practice location:
  • Phone: 270-799-8662
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: