Whithaus, Kenneth Clifford

Whithaus, Kenneth Clifford is an individual health care provider with primary practice located at 1899 Eider Ct , Tallahassee FL 32308-4537. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Whithaus, Kenneth Clifford can be contacted via phone (850) 219-7640.

Contact Information

Primary practice address
1899 Eider Ct Tallahassee FL 32308-4537
Phone: (850) 219-7640
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X R9321 Alabama
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD.29340 Alabama

Profile Details

NPI number 1619060787
LBN Legal business name Whithaus, Kenneth Clifford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jun 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619060787 NPPES
Florida Other ME 109950 ME LICENCE NUMBER

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