Individual
DR. KEVIN E WHITTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
110 SOUTH AVE W, MISSOULA, MT 59801-8116
(706) 766-3683
Mailing address
110 SOUTH AVE W, MISSOULA, MT 59801-8116
(706) 766-3683
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
000459
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MED-POD-LIC-33740
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000459
STATE LICENSE NUMBER
GA
01
—
MED-POD-LIC-33740
LICENSE
MT
Enumeration date
11/17/2005
Last updated
10/06/2014
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