Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider | 4529 | KY |
NPI | 1184281255 |
---|---|
Provider Name | Karen Leigh White I |
First Address | Owingsville, KY 40360-9038 |
Second Address | Owingsville, KY 40360-9038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2019 |
Last Update Date | 23/05/2019 |