Individual
KATHLEEN M WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10510 JEFFERSON AVE STE A, NEWPORT NEWS, VA 23601-3102
(757) 594-3800
(757) 594-3818
Mailing address
12101 CAROL LN STE 101, FREDERICKSBURG, VA 22407-6101
(540) 741-9300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102207118
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
04/03/2020
Last updated
08/02/2023
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