Kenneth Kyle White in Lubbock - Diagnostic Radiology

Kenneth Kyle White - NPI 1649276072

Kenneth Kyle White is a Diagnostic Radiology in Lubbock, Texas. Kenneth Kyle White practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kenneth Kyle White is 1649276072. The last update date is 2021-11-03.

Kenneth Kyle White's current location address is 4005 24th St, Lubbock, Texas. You can contact this provider via phone number 8067922767 and fax number 8067916709. The mailing address for Kenneth Kyle White is 4005 24th St, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Kyle White
Address 4005 24th St, Lubbock, Texas
Phone Number 8067922767
Fax Number 8067916709
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1649276072
Provider Enumeration Date 2005-06-21
Last Updated Date 2021-11-03

Provider Mailing Address Detail

Address 4005 24th St
City Lubbock
State Texas (TX)
Post Code 7941018350
Phone Number 8067922767
Fax Number 8067916709

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No L5953
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
139559100 TX FIRSTCARE
155904905 TX --
8G1355 TX BLUE CROSS
P00152700 RAILROAD MEDICARE
92382321 NM --

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FAQs about Kenneth Kyle White

What is the unique 10-digit identifier code assigned to Kenneth Kyle White by the Centers for Medicare & Medicaid Services?

The Kenneth Kyle White has been issued the NPI (National Provider Identifier) 1649276072 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Kenneth Kyle White?

The Kenneth Kyle White is situated at 4005 24Th St, in the city of Lubbock, state of TX, with the zip code 7941018350.

What is Kenneth Kyle White's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenneth Kyle White is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services issue the 1649276072 to Kenneth Kyle White?

The Kenneth Kyle White received its 1649276072 assignment from the Centers for Medicare & Medicaid Services on 2005-06-21.

As of what date were the Kenneth Kyle White's details last updated?

The information pertaining to the Kenneth Kyle White, including its address, specialty, and other details, was most recently updated on 2021-11-03.

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