Provider Demographics
NPI:1710377338
Name:WHITNEY, KAMI RENEE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:KAMI
Middle Name:RENEE
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KAMI
Other - Middle Name:RENEE
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6348 BARN OWL CT
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20187-4715
Mailing Address - Country:US
Mailing Address - Phone:540-878-6117
Mailing Address - Fax:
Practice Address - Street 1:7350 HERITAGE VILLAGE PLZ
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3084
Practice Address - Country:US
Practice Address - Phone:571-248-6666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110-004816363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant