Provider Demographics
NPI:1881257244
Name:HAYDEN-WHITEMAN, KELSEY MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:MARIE
Last Name:HAYDEN-WHITEMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KELSEY
Other - Middle Name:MARIE
Other - Last Name:HAYDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:138 COPPERLEAF DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-9206
Mailing Address - Country:US
Mailing Address - Phone:717-314-9799
Mailing Address - Fax:
Practice Address - Street 1:1211 FORGE RD STE 300
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3183
Practice Address - Country:US
Practice Address - Phone:717-218-3920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-20
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS022052208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics