Individual
KENNETH E WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 CHESTNUT ST, VINALHAVEN, ME 04863-0823
(207) 863-2236
Mailing address
PO BOX 823, VINALHAVEN, ME 04863-0823
(207) 863-2236
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
011882
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011882
STATE MEDICAL LICENSE
LA
Enumeration date
12/23/2011
Last updated
12/23/2011
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