Individual
KEVIN J WILHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2394 HIGHWAY K, O FALLON, MO 63368-6661
(636) 978-3711
Mailing address
2394 HIGHWAY K, O FALLON, MO 63368-6661
(636) 978-3711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005026649
MO
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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