| Dr. John K. Whitham, Pc | |
|
900 W Kenosha St Broken Arrow OK 74012-8917 | |
| (918) 251-8889 | |
| (918) 258-9800 |
| Full Name | Dr. John K. Whitham, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 W Kenosha St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | John Kenton Whitam (PRESIDENT) |
| Authorized Official Contact | 9182518889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. John K. Whitham, Pc 2608 W Kenosha St #722 Broken Arrow OK 74012-8952 Ph: () - | Dr. John K. Whitham, Pc 900 W Kenosha St Broken Arrow OK 74012-8917 Ph: (918) 251-8889 |
| NPI Number | 1568693919 |
|---|---|
| Provider Enumeration Date | 08/03/2009 |
| Last Update Date | 08/03/2009 |
| Medicare PECOS PAC ID | 9931241254 |
|---|---|
| Medicare Enrollment ID | O20100126000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568693919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3935 (Oklahoma) | Primary |
| Provider Name | John K Whitham |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023249471 PECOS PAC ID: 3577605898 Enrollment ID: I20100126000175 |
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