Individual
RENNATTA KIPER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9847 ELIZABETHTOWN RD, BIG CLIFTY, KY 42712-5880
(270) 242-2000
(270) 242-2100
Mailing address
908 WALLACE AVE, LEITCHFIELD, KY 42754-1479
(270) 242-2000
(270) 242-2100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
3008786
KY
363LF0000X
Family Nurse Practitioner
Primary
3008786
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100303220
—
KY
Enumeration date
07/18/2014
Last updated
09/16/2016
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