Individual
DR. JOHN KENTON WHITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
900 W KENOSHA ST, BROKEN ARROW, OK 74012-8917
(918) 251-8889
(918) 258-9800
Mailing address
2608 W KENOSHA ST, #722, BROKEN ARROW, OK 74012-8952
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3935
OK
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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