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Individual

KELLY QUINLAN WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1681 NORMAL DRIVE, BOWLING GREEN, KY 42101
(270) 745-2273
(270) 780-0490
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 745-2273
(270) 780-0490

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005589
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009056
CT STATE LICENSE
CT
01
PT33678
LICENSE
CA
Enumeration date
06/01/2007
Last updated
07/27/2017
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