Kevin M Whalley MD

NPI 1104909274 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1104909274
Gender Male
Enumeration Date 10/23/2006
Last Updated 06/06/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
965 JK AVENT DR
SUITE 103
GRENADA MS, 38901, US
Phone (662) 226-4088
Fax (662) 226-0198
Business Location
965 JK AVENT DR
SUITE 103
GRENADA MS, 38901, US
Phone (662) 226-4088
Fax (662) 226-0198
Toxanomy
Taxonomy Code 207X00000X
License State Mississippi
License Number 14578
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According to our database, Mr. Kevin M Whalley MD NPI is 1104909274, taxonomy code is 207X00000X and license number is 14578, license state is located at Mississippi. Kevin M Whalley MD physically located at 965 Jk Avent Dr, Grenada MS, 38901. NPI Number Kevin M Whalley MD has the Individual type.

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1104909274 NPI number is provided on an as is basis without warranty of any kind. 1104909274 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin M Whalley MD are for informational purposes only.