Individual
DR. KEVIN D. WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 ROBERTS ST N, FARGO, ND 58102-4716
(701) 404-9180
Mailing address
738 VINEYARD CIR, GRAND FORKS, ND 58201-2920
(585) 709-6465
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
207ZF0201X
Forensic Pathology Physician
17603
ND
Other
Enumeration date
10/27/2021
Last updated
07/10/2025
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