Individual
KIMBERLY ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAT, LAT, ATC
Contact information
Practice address
9049 E 10TH ST, INDIANAPOLIS, IN 46229-2500
(317) 327-2047
Mailing address
9049 E 10TH ST, INDIANAPOLIS, IN 46229-2500
(317) 327-2047
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003040A
IN
Other
Enumeration date
01/19/2019
Last updated
05/26/2021
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