Whalio Doctors

NPI 1154931236

Heather Michele Waddelow, LDH

Practitioner Dental Hygienist Kokomo, IN

Practice location

Address
3118 S Lafountain St, Kokomo, IN 46902-3710
Phone
(765) 864-4160

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 13004179A (IN)

Registry record

NPI
1154931236
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Aug 2020
Record last updated
4 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.