Individual
JAMIE WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3906 SE 33RD ST, TOPEKA, KS 66605-2126
(785) 383-2926
Mailing address
3906 SE 33RD ST, TOPEKA, KS 66605-2126
(785) 383-2926
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
24-00845
KS
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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