Individual
KYLE WHITTEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14567 MADISON RD, MIDDLEFIELD, OH 44062-9499
(440) 632-1668
Mailing address
14838 ENSIGN RD, BURTON, OH 44021-9429
(830) 310-1381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009492RX
OH
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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