Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Clifford Whithaus, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619060787

Dr. Kenneth Clifford Whithaus, MD is a Pathology in Tallahassee, Florida. Graduated from University of South Florida College of Medicine in 2005, 21 years ago. Practices with Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert, a 10-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
21
Trained at
University of South Florida College of Medicine
Licensed in
AL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1899 Eider Ct
Tallahassee, FL 32308-4537
Phone: (850) 219-7640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD.29340 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence R9321 (AL)

Record details

NPI number1619060787
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESJune 6, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Ketchum Wood And Burgert Chartered Drs Ketchum Wood And Burgert — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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