Kelly R Whaley is a
Podiatrist - Primary Podiatric Medicine based in Willowick, Ohio. Kelly R Whaley is licensed to practice in Ohio (license number 36003068) and their current practice location is
144 Larimar Dr, Willowick, Ohio. It can be reached at their office (for appointments etc.) via phone at
(216) 229-0292.
NPI number for Kelly R Whaley is 1609146240 and their current mailing address is Po Box 182, Wickliffe, Ohio. Kelly R Whaley
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1609146240.
Healthcare Provider's Profile
Full Name | Kelly R Whaley |
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Type | Facility |
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Speciality | Podiatrist - Primary Podiatric Medicine |
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Location | 144 Larimar Dr, Willowick, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609146240
- Provider Enumeration Date: 01/12/2012
- Last Update Date: 05/20/2025
Medical Identifiers
Medical identifiers for Kelly R Whaley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609146240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213EP1101X | Podiatrist - Primary Podiatric Medicine | 36003068 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly R Whaley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly R Whaley Po Box 182, Wickliffe, OH 44092-0182 Ph: (216) 374-5001 | Kelly R Whaley 144 Larimar Dr, Willowick, OH 44095-5212 Ph: (216) 229-0292 |
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