Provider Demographics
NPI:1376886325
Name:GILLEY, WHITNEY TALBOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:TALBOTT
Last Name:GILLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 MADISON SQUARE DR # 239
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-2743
Mailing Address - Country:US
Mailing Address - Phone:270-216-0938
Mailing Address - Fax:
Practice Address - Street 1:38 W ARCH ST
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-1902
Practice Address - Country:US
Practice Address - Phone:270-216-0938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN578742084P0800X
VA01012628122084P0800X
KY513132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry