Individual
KIERSTEN R WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
497 ANGLIANA AVE UNIT 1320, LEXINGTON, KY 40508-3533
(630) 945-1851
Mailing address
497 ANGLIANA AVE UNIT 1320, LEXINGTON, KY 40508-3533
(630) 945-1851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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