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Individual

KATHLEEN P WHITE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2440 WHITNEY AVE, HAMDEN, CT 06518-3222
(203) 288-9650
(203) 288-9670
Mailing address
2440 WHITNEY AVE, HAMDEN, CT 06518-3222
(203) 288-9650
(203) 288-9670

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035208
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010035206CT01
ANTHEM BC BS CT
CT
01
0Q2022
HEALTH NET
CT
01
2016866
UNITED HEALTHCARE
CT
01
2335890002
CIGNA
CT
01
2660903
AETNA
CT
01
735531
CONNECTICARE
CT
01
P2567544
OXFORD
CT
Enumeration date
02/21/2006
Last updated
07/08/2007
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