Individual
WILLIAM ALLEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 US HIGHWAY 60 W, MORGANFIELD, KY 42437-6242
(270) 389-0031
(270) 389-3707
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(270) 389-0031
(270) 389-3707
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
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