Individual
KELLY M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
400 HOSPITAL ROAD, STARKVILLE, MS 39760
(662) 615-2763
(662) 615-2761
Mailing address
927 BARNETT DR, STARKVILLE, MS 39759-3703
(662) 615-2763
(662) 615-2761
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1144
MS
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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