Individual
LAURA KELLY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1065 OLD EKRON RD, BRANDENBURG, KY 40108-1735
(270) 422-2200
(270) 422-2221
Mailing address
1065 OLD EKRON RD, BRANDENBURG, KY 40108-1735
(270) 422-2200
(270) 422-2221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002841
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000305963
ANTHEM
KY
01
—
000000861403
ANTHEM-NSS
KY
01
—
158653
SIHO-NSS
KY
01
—
2444403000
PASSPORT ADVANTAGE
KY
01
—
50002937
PASSPORT
KY
01
—
50064974
PASSPORT-NSS
KY
05
—
78004108
—
KY
Enumeration date
07/07/2005
Last updated
08/12/2024
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