Individual
MS. KIM WENONA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS-BC
Contact information
Practice address
601 JAMES R THOMPSON BLVD, BUILDING D, SUITE 2015, EAST SAINT LOUIS, IL 62201-1129
(618) 482-6959
(618) 482-8311
Mailing address
601 JAMES R THOMPSON BLVD, BUILDING D, SUITE 2015, EAST SAINT LOUIS, IL 62201-1129
(618) 482-6959
(618) 482-8311
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209011109
IL
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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