White, Kelly E
White, Kelly E is an individual health care provider with primary practice located at 1453 E Bert Kouns Industrial Loop Radiology, Shreveport LA 71105-6800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. White, Kelly E can be contacted via phone (318) 681-4347.Contact Information
Primary practice address
1453 E Bert Kouns Industrial Loop Radiology
Shreveport LA 71105-6800
Phone: (318) 681-4347
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD020531 | Louisiana |
Profile Details
| NPI number | 1538108774 |
|---|---|
| LBN Legal business name | White, Kelly E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jan 14th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538108774 | NPPES |
| Louisiana | MEDICAID | 1672050 |
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