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Individual

DR. KENNETH S WHITLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7850 WHITE LN, SUITE E368, BAKERSFIELD, CA 93309-7698
(661) 619-8191
(661) 348-4208
Mailing address
7850 WHITE LN, SUITE E368, BAKERSFIELD, CA 93309-7698
(559) 624-2929
(661) 348-4208

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A7403
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010085331 541581185
VA
01
P00169537
RR MEDICARE
VA
Enumeration date
10/17/2006
Last updated
02/27/2017
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