Kenneth Stephen White in Austin - Sports Physician
Kenneth Stephen White - NPI 1497715106
Kenneth Stephen White is a Sports Physician in Austin, Texas. Kenneth Stephen White practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Kenneth Stephen White is 1497715106. The last update date is 2014-02-26.
Kenneth Stephen White's current location address is 3410 Far West Blvd, Austin, Texas. You can contact this provider via phone number 5123465735 and fax number 5122332792. The mailing address for Kenneth Stephen White is 3410 Far West Blvd, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Stephen White |
|---|---|
| Address | 3410 Far West Blvd, Austin, Texas |
| Phone Number | 5123465735 |
| Fax Number | 5122332792 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1497715106 |
|---|---|
| Provider Enumeration Date | 2006-03-25 |
| Last Updated Date | 2014-02-26 |
Provider Mailing Address Detail
| Address | 3410 Far West Blvd |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787313194 |
| Phone Number | 5123465735 |
| Fax Number | 5122332792 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 2229 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B06002321 | TX | -- | |
| BC/BS OF TEXAS | TX | BC/BS ID | |
| DC2229 | TX | LICENSE ID |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenneth Stephen White by the Centers for Medicare & Medicaid Services?
The Kenneth Stephen White has been assigned the NPI (National Provider Identifier) 1497715106 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Kenneth Stephen White's facilities are situated?
The facilities of Kenneth Stephen White are physically located at the following address: 3410 Far West Blvd, Austin, TX, 787313194.
What is Kenneth Stephen White's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth Stephen White is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.
On what date was the 1497715106 assigned to Kenneth Stephen White?
The Kenneth Stephen White was issued its 1497715106 on 2006-03-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kenneth Stephen White, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth Stephen White, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-26.