White, Kristen Dawn

White, Kristen Dawn is an individual health care provider with primary practice located at 5714 Los Robles Ct , Palmetto FL 34221-2215. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. White, Kristen Dawn can be contacted via phone (941) 705-5699.

Contact Information

Primary practice address
5714 Los Robles Ct Palmetto FL 34221-2215
Phone: (941) 705-5699
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida

Profile Details

NPI number 1730711979
LBN Legal business name White, Kristen Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2020
Last updated May 17th, 2021 - about 4 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 1730711979 NPPES
Florida MEDICAID 222Q00000X

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