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Organization

KEVIN J. WHRITENOUR INC

Active
Parent organization
KEVIN J. WHRITENOUR INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
KEVIN J. WHRITENOUR INC
Authorized official
DR. KEVIN J WHRITENOUR AU.D (DOCTOR OF AUDIOLOGY)
(210) 616-0889
Entity
Organization

Contact information

Practice address
8227 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3356
(210) 616-0889
(210) 614-0144
Mailing address
8227 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3356
(210) 616-0889
(210) 614-0144

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50892
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00824X
MEDICARE GRP
TX
Enumeration date
03/03/2008
Last updated
03/03/2008
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