NPI Registry.org

Keith White

NPI Registration Record

Provider / OrganizationNPIDate Certified
KEITH WHITE19529058872020-11-22
Entity TypeIndividual
Provider Name Keith White
Practice Office Address1511 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA US
Practice Office Telephone5408996874
Practice Office Fax5403734031
Mailing Address1511 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 224014631 US
Business Telephone5408996874
Business Fax5403734031
HPT Codes
CodeLicense NoState
183500000X PRIMARY0202011150 VA
OPI Codes

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