Individual
MR. KEVIN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-7462
(330) 363-7679
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-7462
(330) 363-7679
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
162576
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801369
—
OH
Enumeration date
08/23/2005
Last updated
08/24/2007
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