Individual
MS. KIM WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
311 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2781
(386) 258-1375
Mailing address
5435 FREDERICK LAKE DR, PORT ORANGE, FL 32128-7479
(386) 767-1967
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2008492
FL
Other
Enumeration date
06/13/2006
Last updated
03/26/2013
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