Provider Demographics
NPI:1821627985
Name:KELLETT, WHITNEY FRANCES (MD, PHD)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:FRANCES
Last Name:KELLETT
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE OHIO STATE UNIVERSITY MEDICAL CENTER
Mailing Address - Street 2:ROOM 654, 395 W. 12TH AVE.
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1250
Mailing Address - Country:US
Mailing Address - Phone:614-293-8704
Mailing Address - Fax:
Practice Address - Street 1:THE OHIO STATE UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:ROOM 654, 395 W. 12TH AVE.
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1250
Practice Address - Country:US
Practice Address - Phone:614-293-8704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program