Individual
MRS. KATRINA A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
145 MEMORIAL DRIVE, BROKEN BOW, NE 68822-0690
(308) 872-2486
(308) 872-2027
Mailing address
PO BOX 690, BROKEN BOW, NE 68822-0690
(308) 872-2486
(308) 872-2027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1174
NE
363A00000X
Physician Assistant
Primary
1174
NE
Other
Enumeration date
10/02/2006
Last updated
10/17/2018
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