Individual
KAELA RAE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1459 S CENTER RD, BURTON, MI 48509-1726
(810) 496-0900
(810) 742-3891
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704295204
MI
363L00000X
Nurse Practitioner
Primary
RN277074
GA
Other
Enumeration date
05/02/2013
Last updated
11/19/2018
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