White, Kelley J

White, Kelley J is an individual health care provider with primary practice located at 101 Boulder Point Drive Suite 1, Plymouth NH 03264-3170. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. White, Kelley J can be contacted via phone (603) 536-4000.

Contact Information

Primary practice address
101 Boulder Point Drive Suite 1 Plymouth NH 03264-3170
Fax: (603) 536-4001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-026612-E Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14003 New Hampshire

Profile Details

NPI number 1902952906
LBN Legal business name White, Kelley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 22nd, 2010 - 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 1902952906 NPPES
New Hampshire MEDICAID 30208231
New Hampshire MEDICAID 0009170610001

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