Individual
KENDRA WILLHOITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2835 FRED TAYLOR DR STE 2229, COLUMBUS, OH 43202-1552
(614) 688-9176
Mailing address
1124 STURBRIDE DRIVE, MEDINA, OH 44256
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
121444
IA
2255A2300X
Athletic Trainer
AT005985
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/04/2018
Last updated
07/06/2023
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