Individual
KENIA E. WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4457 NW 207TH DR, MIAMI GARDENS, FL 33055-1251
(203) 690-6192
Mailing address
4457 NW 207TH DR, MIAMI GARDENS, FL 33055-1251
(203) 690-6192
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
9379476
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
9379476
FL
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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