Individual
MR. KENNETH I WILHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1 SAINT MARY PL FL 9, SHREVEPORT, LA 71101-4343
(318) 678-1009
Mailing address
205 S MADISON CT, BOSSIER CITY, LA 71111-6072
(318) 746-7286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13145
LA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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