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1073909040
KENNETH RAY WHITE
CHARLOTTESVILLE, VA
NPI
1073909040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: VA 0024171091)
Enumeration Date
2015-04-07
Last Update Date
2016-02-23
Business Address
-- KENNETH RAY WHITE PhD, A/G ACNP-BC
1240 LEE ST
CHARLOTTESVILLE, VA 22908-0001
Phone number: 434-243-3922
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Mailing Address
-- KENNETH RAY WHITE PhD, A/G ACNP-BC
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number:
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