Individual
DR. KENNETH JOHN WHITWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D., MBA
Contact information
Practice address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-1526
(703) 784-1681
Mailing address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-1526
(703) 784-1681
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4025T
OR
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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