Individual
KATHRYN L WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP STUDENT
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(208) 217-5245
Mailing address
3286 GARDEN HILLS LOOP, RICHMOND HILL, GA 31324-6189
(208) 217-5245
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
307460
GA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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