White, Kevin

White, Kevin is an individual health care provider with primary practice located at 2600 Sixth St Sw , Canton OH 44710-1702. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. White, Kevin can be contacted via phone (330) 363-7462.

Contact Information

Primary practice address
2600 Sixth St Sw Canton OH 44710-1702
Phone: (330) 363-7462
Fax: (330) 363-7679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 162576 Ohio

Profile Details

NPI number 1013900380
LBN Legal business name White, Kevin
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Aug 24th, 2007 - about 17 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 1013900380 NPPES
Ohio MEDICAID 0801369

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