| | Physician Last Name: | Whitley |
| | Physician First Name: | Kevin |
| | Physician Middle Name: | Joseph |
| | Address: | Downstate Correctional Facility,
121 Red Schoolhouse Road,
P.O. Box F,
Fishkill, New York 12524-0445 |
| | License Number: | 005562 |
| | License Type: | PA |
| | Year of Birth: |
1960
|
| | Effective Date: | 07/09/2020 |
| | Action Description for DOH Webpage: | License surrender. |
| | Misconduct Description for DOH Webpage: | The physician assistant did not contest the charge of having committed professional misconduct by having been convicted in the State of New York, County of Nassau Criminal Court, of Assault in the First Degree, Intent to Cause Serious Injury With a Weapon, a felony. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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