Individual
KEN WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COMMUNITY PARAMEDIC
Contact information
Practice address
118 E HASKELL ST, WINNEMUCCA, NV 89445-3247
(775) 623-5222
(775) 625-8385
Mailing address
118 E HASKELL ST, WINNEMUCCA, NV 89445-3247
(775) 623-5222
(775) 625-8385
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
13129
NV
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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