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1538108774
KELLY E WHITE
SHREVEPORT, LA
NPI
1538108774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: LA md020531)
Enumeration Date
2006-06-05
Last Update Date
2014-01-14
Business Address
-- KELLY E WHITE MD
1453 E BERT KOUNS INDUSTRIAL LOOP RADIOLOGY
SHREVEPORT, LA 71105-6800
Phone number: 318-681-4347
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Mailing Address
-- KELLY E WHITE MD
PO BOX 9600 DEPT 09-038
TEXARKANA, TX 75505-9600
Phone number: 877-243-8416
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