Individual
SAMUEL KEEGAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3300 PROVIDENCE DR STE 207, ANCHORAGE, AK 99508-4620
(907) 279-0555
Mailing address
928 10TH ST, CHARLESTON, IL 61920-2859
(217) 264-3182
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
255686
AK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
06/19/2026
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