Provider Demographics
NPI:1457074080
Name:WHITACRE, ERIN (DVM)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:WHITACRE
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16242 S SUNSET ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-2705
Mailing Address - Country:US
Mailing Address - Phone:913-645-2104
Mailing Address - Fax:
Practice Address - Street 1:16242 S SUNSET ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-2705
Practice Address - Country:US
Practice Address - Phone:913-645-2104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7368207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine