Individual
KIMBERLY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 KENTON LN, LIBERTYVILLE, IL 60048-1500
(234) 234-8677
Mailing address
2108 KENTON LN, LIBERTYVILLE, IL 60048-1500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041238039
IL
Other
Enumeration date
07/29/2006
Last updated
11/15/2011
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