White, Kevin Michael

White, Kevin Michael is an individual health care provider with primary practice located at 508 Fulton St , Durham NC 27705-3875. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. White, Kevin Michael can be contacted via phone (919) 286-6997.

Contact Information

Primary practice address
508 Fulton St Durham NC 27705-3875
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-00761 North Carolina

Profile Details

NPI number 1346226941
LBN Legal business name White, Kevin Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Oct 22nd, 2012 - about 14 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 1346226941 NPPES
North Carolina Other 0010-00761 STATE LICENSE NUMBER

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