Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 305212246 | VA |
NPI | 1033697636 |
---|---|
Provider Name | Dr. Kyle A White |
First Address | Lexington, VA 24450-3778 |
Second Address | Lexington, VA 24450-3778 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2018 |
Last Update Date | 06/08/2018 |