Individual
DR. KIMBERLY S WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2310 N MOLTER RD, SUITE 108, LIBERTY LAKE, WA 99019-5036
(509) 924-4443
(509) 924-1249
Mailing address
2310 N MOLTER RD, SUITE 108, LIBERTY LAKE, WA 99019-5036
(509) 924-4443
(509) 924-1249
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60287673
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8910053
MEDICARE PTAN
—
Enumeration date
06/12/2012
Last updated
04/26/2016
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