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Individual

KENDALL WHITFIELD WANNAMAKER JR.

Active
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Individual

KENDALL WHITFIELD WANNAMAKER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL38304
SC
207W00000X
Ophthalmology Physician
Primary
2021-01183
NC
207W00000X
Ophthalmology Physician
35136292
OH
207W00000X
Ophthalmology Physician
TP302
KY
207WX0107X
Retina Specialist (Ophthalmology) Physician
2021-01183
NC

Other

Enumeration date
06/05/2015
Last updated
12/20/2023
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