Provider Demographics
NPI:1447246996
Name:WHITNEY, KENDRICK A (DPM)
Entity type:Individual
Prefix:DR
First Name:KENDRICK
Middle Name:A
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:PO BOX 827282
Mailing Address - Street 2:TEMPLE UNIVERSITY FOOT & ANKLE INSTITUTE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-7282
Mailing Address - Country:US
Mailing Address - Phone:215-238-6600
Mailing Address - Fax:215-629-0716
Practice Address - Street 1:8TH AT RACE STREET
Practice Address - Street 2:TEMPLE UNIVERSITY FOOT & ANKLE INSTITUTE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-2496
Practice Address - Country:US
Practice Address - Phone:215-238-6600
Practice Address - Fax:215-629-4905
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2008-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASC002672L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1092095OtherAETNA HMO
PA4459691OtherAETNA PPO
PA480031468OtherRAILROAD MEDICARE
PAPHS533OtherOXFORD
PA0060707000OtherKEYSTONE HEALTH PLAN HMD
PA149424OtherKEYSTONE HEALTH PLAN PPO
PA231365971OtherHUMANA
NJ7379501OtherNJ MEDICAL ASSISTANCE
PA976296OtherHMA
PA976296Medicaid
PA231365971OtherUNITED HEALTH CARE
PA31299OtherAETNA
PA28824OtherHEALTH PARTNERS
PA9230OtherELDER HEALTH / BRAVO
PA0009762960004Medicaid
PA1012837OtherKEYSTONE MERCY
PA231365971071OtherTRI-CARE
PA3Y2324OtherHEALTH NET
PA435764OtherHEALTH AMERICA HEALTH ASSURANCE
PA8424929OtherCIGNA
PAA49424OtherINTER-CITY
PAWH149424OtherBLUE SHIELD OF PA
T82242Medicare UPIN
PA0009762960004Medicaid