Individual
DR. BENJAMIN LANE WHITTREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3120 N PLUM ST, HUTCHINSON, KS 67502-2918
(620) 662-2355
(620) 662-1102
Mailing address
3120 N PLUM ST, HUTCHINSON, KS 67502-2918
(620) 662-2355
(620) 662-1102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003558A
IN
152W00000X
Optometrist
Primary
1882
KS
Other
Enumeration date
01/20/2006
Last updated
11/30/2010
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