Individual
KIMBERLY RENEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
600 REISTERSTOWN RD, PIKESVILLE, MD 21208-5104
(410) 602-5139
Mailing address
2157 STREAMWAY CT, GWYNN OAK, MD 21207-6093
(443) 801-2233
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R133677
MD
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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