Individual
KIMBERLY D WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, OTR, CHT
Contact information
Practice address
14020 OLD STATE RD STE D100, EVANSVILLE, IN 47725-1167
(812) 469-4770
Mailing address
5927 RELIABLE PKWY, CHICAGO, IL 60686-0001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000395A
IN
Other
Enumeration date
05/30/2007
Last updated
07/20/2017
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