Individual
MS. KRISTEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 COMMONWEALTH AVE, WILLIAMSBURG, VA 23185-5229
(757) 585-2250
(757) 585-2061
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2022-0030
NM
363AM0700X
Medical Physician Assistant
0110004061
VA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/28/2011
Last updated
05/17/2022
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