Organization
KENNETH J. WHIPPLE D.O. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH J. WHIPPLE D.O. (PRESIDENT)
(559) 436-0871
Entity
Organization
Contact information
Practice address
6550 E 2ND ST, CASPER, WY 82609-4321
(559) 436-0871
(559) 436-5221
Mailing address
PO BOX 3703, PINEDALE, CA 93650-3703
(559) 436-0871
(559) 436-5221
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12554
MT
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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