Individual
DR. KOLBY SHANE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
6260 DELAWARE ST, BEAUMONT, TX 77706-7602
(409) 899-1538
Mailing address
6260 DELAWARE ST, BEAUMONT, TX 77706-7602
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1962
TX
Other
Enumeration date
07/19/2010
Last updated
01/09/2012
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