Healthcare Provider Details

I. General information

NPI: 1831530708
Provider Name (Legal Business Name): WHITNEY LEIGH KEHRER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2013
Last Update Date: 06/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W HIGH ST SUITE 111
ELKTON MD
21921-5529
US

IV. Provider business mailing address

305 W FAYETTE ST APARTMENT 1704
BALTIMORE MD
21201-3441
US

V. Phone/Fax

Practice location:
  • Phone: 410-398-2131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number15442
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: