Individual
KELLI DAWN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 PAGE DR, PINEHURST, NC 28374-8847
(910) 621-2937
Mailing address
611 EL IVES DR, ABERDEEN, NC 28315-3618
(304) 619-6801
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31599
WV
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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