# KIMBERLY S WHITE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679538151
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3002844 | KY | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 09/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000375696 | ANTHEM - NMA | KY |
| 01 | — | 000023025M | HUMANA - NMA | KY |
| 01 | — | 064259 | SIHO - NMA | KY |
| 01 | — | 50008061 | PASSPORT & PASSPORT ADVANTAGE - NMA | KY |
| 05 | — | 78015229 | — | KY |