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NPI Code Detail

MEDICARE: KATHLEEN ANNE WHALEY MD

MEDICARE: KATHLEEN ANNE WHALEY 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
1207P00000XEmergency Medicine Physician285708NY
22084A0401XAddiction Medicine (Psychiatry & Neurology) Physician285708NY

General Provider Information

NPI Number : 1598706327
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN ANNE WHALEY MD
Provider Business Mailing Address
First Line : 4814 WHALEY RD
Second Line :
City : ARCADE
State : NY
Zip : 14009-9106
Country : US
Telephone Number : 317-437-0119
Fax Number :
Provider Business Practice Location Address
First Line : 556 CLINTON AVE S
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-1105
Country : US
Telephone Number : 585-442-8422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 10/19/2023

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Directions to “ KATHLEEN ANNE WHALEY MD” Practice Location

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