Individual
MR. KEVIN GLEN WHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2435 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8805
(503) 472-6161
(503) 434-6290
Mailing address
2435 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8805
(503) 472-6161
(503) 434-6290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD167037
OR
208000000X
Pediatrics Physician
MD167037
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500675027
—
OR
Enumeration date
04/08/2010
Last updated
10/01/2024
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