Individual
KEVIN L WHEELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
711 SHORE DR, BREMERTON, WA 98310-4878
(360) 377-2738
Mailing address
711 SHORE DR, BREMERTON, WA 98310-4878
(360) 377-2738
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
200260040
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007722
WA
Other
Enumeration date
03/05/2007
Last updated
08/08/2008
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