Individual
KENNETH A. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 S PACA ST, SIXTH FLOOR, SUITE 200, BALTIMORE, MD 21201-1642
(410) 328-8025
Mailing address
110 S PACA ST, SIXTH FLOOR, SUITE 200, BALTIMORE, MD 21201-1642
(410) 328-8025
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301074990
MI
207P00000X
Emergency Medicine Physician
Primary
D0066868
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414419800
—
MD
Enumeration date
06/07/2006
Last updated
07/10/2008
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