Individual
KIMBERLEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
123 E COLUMBUS STREET, WHITEVILLE, NC 28472
(910) 640-0856
(910) 640-0857
Mailing address
PO BOX 1288, LUMBERTON, NC 28359
(910) 671-9629
(910) 671-9630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4506
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211405
—
NC
Enumeration date
06/20/2007
Last updated
11/09/2017
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