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Individual

WILLIAM ALLEN WHITE

Active
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Individual

WILLIAM ALLEN WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25725
KY
208000000X
Pediatrics Physician
25725
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000042177
BCBS PIN
KY
05
64257256
KY
Enumeration date
06/08/2005
Last updated
01/09/2013
Update your record

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