Individual
DR. KIP EDWARD WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8901 ROCKVILLE PIKE BETHESDA MD 20889, BETHESDA, MD 20889-0001
(302) 542-7345
Mailing address
15478 WATERS CREEK DR, CENTREVILLE, VA 20120-1164
(302) 542-7345
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024180013
VA
367500000X
Certified Registered Nurse Anesthetist
AC005410
MD
Other
Enumeration date
03/04/2020
Last updated
01/13/2026
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