Individual
MR. TIM WHITWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
7105 WEST HOOD PLACE, SUITE 103, KENNEWICK, WA 99336
(509) 374-4719
(509) 374-3873
Mailing address
7105 WEST HOOD PLACE, SUITE 103, KENNEWICK, WA 99336
(509) 374-4719
(509) 374-3873
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021695
WA
Other
Enumeration date
10/02/2006
Last updated
07/21/2022
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