Individual
KIMBERLY S WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7430 JEFFERSON BLVD STE 200, LOUISVILLE, KY 40219-6159
(502) 966-8675
(502) 966-8836
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002844
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375696
ANTHEM - NMA
KY
01
—
000023025M
HUMANA - NMA
KY
01
—
064259
SIHO - NMA
KY
01
—
50008061
PASSPORT & PASSPORT ADVANTAGE - NMA
KY
05
—
78015229
—
KY
Enumeration date
04/19/2006
Last updated
09/05/2024
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