Individual
MISS KAITLYN DEANNA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13301 N MERIDIAN AVE STE 201, OKLAHOMA CITY, OK 73120-8381
(405) 803-8020
(405) 437-2332
Mailing address
PO BOX 54333, OKLAHOMA CITY, OK 73154-1333
(903) 312-7170
(405) 437-2332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2970
OK
Other
Enumeration date
11/29/2018
Last updated
08/19/2020
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