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

Kyle Phillip Whitman

Individual provider Physician Assistant · NPI 1194298554

Kyle Phillip Whitman is a Physician Assistant in Charlotte, North Carolina. Qualified in 2018, 8 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2019
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Practice location Address checks out

12611 N Community House Rd Ste 100
Charlotte, NC 28277-3817
Phone: (704) 316-3410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08720 (NC)

Record details

NPI number1194298554
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 9, 2019
Last updated in NPPESOctober 26, 2020
Certification dateSeptember 6, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Not indicated
Practice locations10 on file with Medicare

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