# KEVIN J. WHRITENOUR INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KEVIN J. WHRITENOUR INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538339882
- **Legal business name:** KEVIN J. WHRITENOUR INC
- **Authorized official:** DR. KEVIN J WHRITENOUR AU.D (DOCTOR OF AUDIOLOGY)
- **Authorized official phone:** (210) 616-0889

## Contact information

- **Practice address:** 8227 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3356
- **Practice address phone:** (210) 616-0889
- **Practice address fax:** (210) 614-0144
- **Mailing address:** 8227 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3356
- **Mailing address phone:** (210) 616-0889
- **Mailing address fax:** (210) 614-0144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 50892 | TX | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 03/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00824X | MEDICARE GRP | TX |