Individual
DR. KIMARA H WHISENANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6240 SHILOH RD, ALPHARETTA, GA 30005-8347
(855) 422-5628
(205) 579-9387
Mailing address
6240 SHILOH RD, ALPHARETTA, GA 30005-8347
(855) 422-5628
(205) 579-9387
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
ME107599
FL
207ZP0101X
Anatomic Pathology Physician
Primary
ME107599
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2008
Last updated
11/04/2022
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