Individual
DR. KEVIN DANIEL WHITELAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 FIFTY SECOND STREET, OAKLAND, CA 94609-1809
(510) 483-3259
Mailing address
240 KENT AVE, KENTFIELD, CA 94904-2525
(415) 309-1453
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
G059070
CA
Other
Enumeration date
07/08/2006
Last updated
08/17/2007
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