Individual
KELSEA R WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4330 WORNALL RD STE 2000, KANSAS CITY, MO 64111-5939
(816) 931-1883
Mailing address
3775 SW KIMSTIN CIR, BLUE SPRINGS, MO 64015-4577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013019176
MO
363LF0000X
Family Nurse Practitioner
Primary
2019041570
MO
363LF0000X
Family Nurse Practitioner
53-79122-031
KS
Other
Enumeration date
07/31/2019
Last updated
12/27/2019
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