Individual
KALVIN L WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6802 S OLYMPIA AVE, SUITE 100, TULSA, OK 74132-1823
(918) 447-9300
(918) 447-9308
Mailing address
6802 S OLYMPIA AVE, SUITE 100, TULSA, OK 74132-1823
(918) 447-9300
(918) 447-9308
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4497
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200108000A
—
OK
01
—
P00381429
RAILROAD MEDICARE
OK
Enumeration date
10/05/2006
Last updated
05/09/2008
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