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1053416990
KENNETH KNOX WHEATLEY
KERRVILLE, TX
NPI
1053416990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX F0351)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
Dr. KENNETH KNOX WHEATLEY MD
3600 MEMORIAL BLVD
KERRVILLE, TX 78028-5768
Phone number: 830-896-2020
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Mailing Address
Dr. KENNETH KNOX WHEATLEY MD
PO BOX 294809
KERRVILLE, TX 78029-4809
Phone number: 830-896-2020
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