Individual
DR. KELLEY J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 BOULDER POINT DRIVE, SUITE 1, PLYMOUTH, NH 03264-3170
(603) 536-4000
(603) 536-4001
Mailing address
101 BOULDER POINT DRIVE, SUITE 1, PLYMOUTH, NH 03264-3170
(603) 536-4000
(603) 536-4001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14003
NH
208000000X
Pediatrics Physician
MD-026612-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009170610001
—
PA
05
—
30208231
—
NH
Enumeration date
01/25/2007
Last updated
07/22/2010
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