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Individual

DR. KENNETH KNOX WHEATLEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3600 MEMORIAL BLVD, KERRVILLE, TX 78028-5768
(830) 896-2020
(830) 792-2431
Mailing address
PO BOX 294809, KERRVILLE, TX 78029-4809
(830) 896-2020
(830) 792-2431

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F0351
TX

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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