Kevin M White in Spring Park - Internal Medicine
Kevin M White - NPI 1285634162
Kevin M White is a Internal Medicine in Spring Park, Minnesota. Kevin M White practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kevin M White is 1285634162. The last update date is 2010-03-16.
Kevin M White's current location address is 4695 Shoreline Dr, Spring Park, Minnesota. You can contact this provider via phone number 9524427895 and fax number 9524427894. The mailing address for Kevin M White is 4695 Shoreline Dr, Spring Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin M White |
|---|---|
| Address | 4695 Shoreline Dr, Spring Park, Minnesota |
| Phone Number | 9524427895 |
| Fax Number | 9524427894 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1285634162 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2010-03-16 |
Provider Mailing Address Detail
| Address | 4695 Shoreline Dr |
|---|---|
| City | Spring Park |
| State | Minnesota (MN) |
| Post Code | 553849715 |
| Phone Number | 9524427895 |
| Fax Number | 9524427894 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 40200 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 677015100 | MN | -- | |
| 40200 | MN | DO LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Kevin M White by the Centers for Medicare & Medicaid Services?
The Kevin M White has been issued the NPI (National Provider Identifier) 1285634162. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin M White?
The Kevin M White is situated at 4695 Shoreline Dr, in the city of Spring Park, state of MN, with the zip code 553849715.
What is Kevin M White's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin M White's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1285634162 to Kevin M White?
The Centers for Medicare & Medicaid Services assigned the 1285634162 to Kevin M White on 2005-07-21.
When was the information regarding Kevin M White most recently updated?
The details pertaining to the Kevin M White, including its address, specialty, and other relevant information, were last refreshed on 2010-03-16.