Individual
MS. KELLY G WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
605B MEDICAL CENTER DR, ALEXANDRIA, LA 71301-8127
(318) 442-2232
(318) 442-2192
Mailing address
PO BOX 8255, ALEXANDRIA, LA 71306-1255
(318) 442-2232
(318) 442-2192
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
PA.A10535
LA
363AM0700X
Medical Physician Assistant
Primary
A10535
LA
Other
Enumeration date
05/23/2005
Last updated
08/07/2024
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