Individual
DR. KENNETH RICHARD WILHALME JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4677
Mailing address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4677
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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