Provider Demographics
NPI:1972266153
Name:WHITMORE, KAITLYN PAIGE (RRT)
Entity Type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:PAIGE
Last Name:WHITMORE
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11506 STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:CHOCTAW
Mailing Address - State:OK
Mailing Address - Zip Code:73020-8254
Mailing Address - Country:US
Mailing Address - Phone:405-816-0796
Mailing Address - Fax:
Practice Address - Street 1:11506 STEWART AVE
Practice Address - Street 2:
Practice Address - City:CHOCTAW
Practice Address - State:OK
Practice Address - Zip Code:73020-8254
Practice Address - Country:US
Practice Address - Phone:405-816-0796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK50682279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care