KELLY WHITE

Perfusionist

Active Individual
NPI: 1629199674

Practice Address

415 S 28TH AVE
Hattiesburg, MS 39401

Phone: (601) 268-5800

Specialties

Specialty Code Primary License
Perfusionist 242T00000X Yes 040030 (MS)

Frequently Asked Questions

NPI 1629199674 is the National Provider Identifier for KELLY WHITE, a Perfusionist provider located in Hattiesburg, MS. This NPI was enumerated on April 3, 2007.
KELLY WHITE practices at 415 S 28TH AVE, Hattiesburg, MS 39401.

Quick Facts

NPI
1629199674
Type
Individual
Enumerated
Apr 3, 2007
Last Updated
Aug 23, 2016

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