Individual
KYLE WHITEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3401 FARENHOLT AVE, BUILDING 14, SAN DIEGO, CA 92134-2908
(619) 532-6400
Mailing address
3401 FARENHOLT AVE, BUILDING 14, SAN DIEGO, CA 92134-2908
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/27/2012
Last updated
03/31/2025
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