Mcwhite, Kertrisa R

Mcwhite, Kertrisa R is an individual health care provider with primary practice located at 540 Saybrook Rd Ste 100 , Middletown CT 06457-4760. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as her primary health care specialty. Mcwhite, Kertrisa R can be contacted via phone (860) 358-2850.

Contact Information

Primary practice address
540 Saybrook Rd Ste 100 Middletown CT 06457-4760
Phone: (860) 358-2850
Fax: (860) 358-8661
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 67547 Connecticut

Profile Details

NPI number 1023053485
LBN Legal business name Mcwhite, Kertrisa R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated May 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023053485 NPPES
Connecticut MEDICAID 008101457
Connecticut Other Z51050
Connecticut Other 8708239
Connecticut MEDICAID 204295

Popular Providers