Individual
DR. KENNETH WAYNE WHITTENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13808 LAKE POINT CIR, SUITE 102, LOUISVILLE, KY 40223-4231
(502) 245-2388
Mailing address
13808 LAKE POINT CIR, SUITE 102, LOUISVILLE, KY 40223-4231
(502) 245-2388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5634
KY
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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