Individual
KAIYA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
918 FORT WAYNE AVE APT 209, INDIANAPOLIS, IN 46202-3868
(317) 397-7562
Mailing address
918 FORT WAYNE AVE APT 209, INDIANAPOLIS, IN 46202-3868
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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