White, Kenneth Stephen

White, Kenneth Stephen is an sole proprietor health care provider with primary practice located at 3410 Far West Blvd Suite 100, Austin TX 78731-3194. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. White, Kenneth Stephen can be contacted via phone (512) 346-5735.

Contact Information

Primary practice address
3410 Far West Blvd Suite 100 Austin TX 78731-3194
Phone: (512) 346-5735
Fax: (512) 233-2792
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2229 Texas

Profile Details

NPI number 1497715106
LBN Legal business name White, Kenneth Stephen
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2006
Last updated Feb 26th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497715106 NPPES
Texas MEDICAID B06002321
Texas Other BC/BS OF TEXAS
Texas Other DC2229

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