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Individual

DR. KERTRISA R MCWHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
540 SAYBROOK RD STE 100, MIDDLETOWN, CT 06457-4760
(860) 358-2850
(860) 358-8661
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-2850

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
67547
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008101457
CT
05
204295
AL
01
8708239
CIGNA
AL
01
Z51050
VIVA HEALTH
AL
Enumeration date
06/19/2006
Last updated
05/04/2021
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