Individual
KIRSTIN NALL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3355 RIVERBEND DR, SUITE 400, SPRINGFIELD, OR 97477-8800
(541) 686-8353
(541) 681-3078
Mailing address
3355 RIVERBEND DR, SUITE 400, SPRINGFIELD, OR 97477-8800
(541) 686-8353
(541) 681-3078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
850002050
IL
Other
Enumeration date
10/24/2006
Last updated
09/12/2011
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