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General NPI Number Information
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NPI Number | 1922040807
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Entity Type | Individual
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Provider Name | KENNETH JOHN WHIPPLE DO
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 5700 E HIGHWAY 90
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-9110
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Country | US
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Telephone | 520-263-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 401 15TH AVE S STE 109
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City | GREAT FALLS
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State | MT
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Zip | 59405-4334
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Country | US
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Telephone | 406-727-6311
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Fax | 406-727-1070
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 010597
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 010611
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 3692
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License Number State | IA
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