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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERICK RICHARD WHISMAN

Active Sole Proprietor

DERICK RICHARD WHISMAN is a Behavioral Health, Residential healthcare provider located in GREENUP, Kentucky. NPI 1174125223 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · GREENUP, KY

Registration Details

NPI Number
1174125223
Provider Type
Individual
Gender
Male
NPI Issued
Nov 13, 2020 (5.7861222911722 yrs)
Last Updated
Nov 13, 2020
Sole Proprietor
Yes

Practice Information

Address
6682 E TYGARTS RD
GREENUP, KY, 411446544
Browse KY providers · Browse ZIP 41144
Phone
6065852471
Primary Specialty
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.