Organization
BALANCE MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN WHITE PA-C (PROVIDER)
(512) 800-1353
Entity
Organization
Contact information
Practice address
7173 S HAVANA ST STE 600-295, CENTENNIAL, CO 80112-3891
(720) 823-7110
Mailing address
7173 S HAVANA ST STE 600-295, CENTENNIAL, CO 80112-3891
(720) 823-7110
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
10/02/2024
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