Organization
KIRK C WHITTLESEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK C WHITTLESEY OD (OWNER)
(515) 332-2950
Entity
Organization
Contact information
Practice address
12 TAFT ST S, HUMBOLDT, IA 50548-2037
(515) 332-2950
(515) 332-4451
Mailing address
12 TAFT ST S, HUMBOLDT, IA 50548-2037
(515) 332-2950
(515) 332-4451
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1581
IA
Other
Enumeration date
02/25/2008
Last updated
11/29/2012
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