Individual
KELLEY E WHITE
Active
Individual
KELLEY E WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101057342
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010016975
—
VA
01
—
011174
CIGNA
VA
01
—
110217730
RAILROAD MEDICARE
VA
01
—
122915
SOUTHERN HEALTH SERVICES
VA
01
—
228213
ANTHEM BCBS OF VA
VA
01
—
291886
MAMSI
VA
01
—
4339850
AETNA HMO
VA
01
—
43934
SENTARA
VA
Enumeration date
04/06/2006
Last updated
11/25/2009
Update your record
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