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NPI Code Detail

MEDICARE: WHITNEY KAY SHIRLEY HALE DO

MEDICARE: WHITNEY KAY SHIRLEY HALE DO
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
1207Q00000XFamily Medicine PhysicianOP61450723WA

General Provider Information

NPI Number : 1417488800
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY KAY SHIRLEY HALE DO
Provider Business Mailing Address
First Line : 5109 SUMMITVIEW AVE
Second Line :
City : YAKIMA
State : WA
Zip : 98908-2858
Country : US
Telephone Number : 509-907-6300
Fax Number : 509-907-6310
Provider Business Practice Location Address
First Line : 5109 SUMMITVIEW AVE
Second Line :
City : YAKIMA
State : WA
Zip : 98908-2858
Country : US
Telephone Number : 509-907-6300
Fax Number : 509-907-6310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 10/06/2023

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Directions to “ WHITNEY KAY SHIRLEY HALE DO” Practice Location

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