Kenneth B Whitworth
Oral and Maxillofacial Pathology
41619 Margarita Rd Ste 102
Temecula
, California 92591-2986
Kenneth B Whitworth
Oral and Maxillofacial Pathology
41619 Margarita Rd Ste 102
Temecula
, California 92591-2986
(951) 694-6667
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Kenneth B Whitworth
- 45485 Eagle Crest Ln
- Temecula, CA
- Zip : 92592-1843
- Phone : (951) 694-6667
Second Address
- Kenneth B Whitworth
- 41619 Margarita Rd Ste 102
- Temecula, CA
- Zip : 92591-2986
- Phone : (951) 676-4473
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | D42784 | CA |
National Provider Identifier
| NPI | 1124146022 |
|---|---|
| Provider Name | Kenneth B Whitworth |
| First Address | Temecula, CA 92592-1843 |
| Second Address | Temecula, CA 92591-2986 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.