Individual
KIMBERLY K WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1 NUCOR WAY, BOURBONNAIS, IL 60914-3213
(815) 939-5504
(815) 939-5556
Mailing address
1 NUCOR WAY, BOURBONNAIS, IL 60914-3213
(815) 939-5504
(815) 939-5556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017690
IL
363LF0000X
Family Nurse Practitioner
Primary
277004958
IL
Other
Enumeration date
05/30/2018
Last updated
05/04/2026
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