Individual
KENYA DENISE WHITEHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
281 LEE ROAD 2212, SMITHS STATION, AL 36877-3396
(573) 578-8439
Mailing address
281 LEE ROAD 2212, SMITHS STATION, AL 36877-3396
(573) 578-8439
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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