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Individual
VICTORIA L WHITWORTH
Active
Individual
VICTORIA L WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
54223
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247820B
—
KS
05
—
100247820C
—
KS
01
—
144898
BCBS
KS
Enumeration date
08/16/2005
Last updated
08/07/2008
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