Individual
EARL E WHITE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
81 BALL PARK RD, HARLAN, KY 40831
(606) 573-8100
(606) 573-8105
Mailing address
81 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-8100
(606) 573-8105
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
30095
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74004235
—
KY
Enumeration date
06/23/2005
Last updated
05/23/2018
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