Provider Demographics
NPI:1801080049
Name:WHALEY, JAMES KENT (RN)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:KENT
Last Name:WHALEY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10895 GRANDVIEW ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1532
Mailing Address - Country:US
Mailing Address - Phone:877-542-9238
Mailing Address - Fax:
Practice Address - Street 1:10895 GRANDVIEW DR
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1532
Practice Address - Country:US
Practice Address - Phone:877-542-9238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-66463-032163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health