Individual
KEISHA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 24, PRAIRIE, MS 39756-0024
(652) 319-7515
Mailing address
PO BOX 24, PRAIRIE, MS 39756-0024
(652) 319-7515
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1000171
MS
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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