Individual
CHRISTOPHER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, JD
Contact information
Practice address
7607 DIXIE HWY, FLORENCE, KY 41042-2644
(859) 655-6100
Mailing address
215 E 11TH ST, NEWPORT, KY 41071-2203
(859) 655-6100
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
35.085835
OH
2084P0800X
Psychiatry Physician
35085835
OH
2084P0800X
Psychiatry Physician
Primary
53136
KY
209800000X
Legal Medicine (M.D./D.O.) Physician
35.085835
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2549595
—
OH
01
—
53136
KY LICENSE
KY
Enumeration date
06/05/2007
Last updated
04/15/2021
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