White Makinde, Keisha Marie

White Makinde, Keisha Marie is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Newborn Medicine, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. White Makinde, Keisha Marie can be contacted via phone (314) 454-2683.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Newborn Medicine Saint Louis MO 63110-1002
Phone: (314) 454-2683
Fax: (314) 454-4633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2020013949 Missouri
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X 2020013949 Missouri

Profile Details

NPI number 1386175206
LBN Legal business name White Makinde, Keisha Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2017
Last updated Apr 25th, 2024 - about last year

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 1386175206 NPPES
Missouri MEDICAID 200085909

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