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Individual
MS. KATHLEEN ELIZABETH WHITE
Active
Individual
MS. KATHLEEN ELIZABETH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.O
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100027871
—
WI
Enumeration date
11/06/2018
Last updated
11/06/2018
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