Individual
KENNETH S WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
211 TELEGRAPH RD, BROWNSVILLE, PA 15417-9570
(724) 785-6699
(724) 785-6699
Mailing address
211 TELEGRAPH RD, BROWNSVILLE, PA 15417-9570
(724) 785-6699
(724) 785-6699
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002304A
PA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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