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KENYA DENISE WHITEHORN MS

>> Contractor >> Other Service Providers

Registrant NPI Number: 1649739053

Individual Registrant:
 KENYA DENISE WHITEHORN MS
Gender: F
Sole Proprietor

Location and contact information for practice:
281 LEE ROAD 2212  SMITHS STATION, AL 36877-3396 US
Tel: 573-578-8439  Fax: --

Contact information for business:
281 LEE ROAD 2212  SMITHS STATION, AL 36877-3396 US
Tel: 573-578-8439  Fax: --

Registration Information:
NPI: 1649739053
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171W00000XOther Service Providers
Contractor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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