# KENNETH J. WHIPPLE D.O. PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336573716
- **Authorized official:** KENNETH J. WHIPPLE D.O. (PRESIDENT)
- **Authorized official phone:** (559) 436-0871

## Contact information

- **Practice address:** 6550 E 2ND ST, CASPER, WY 82609-4321
- **Practice address phone:** (559) 436-0871
- **Practice address fax:** (559) 436-5221
- **Mailing address:** PO BOX 3703, PINEDALE, CA 93650-3703
- **Mailing address phone:** (559) 436-0871
- **Mailing address fax:** (559) 436-5221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 12554 | MT | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/21/2013
- **Last updated:** 08/21/2013