Doctor Name: | DR. STEVEN DEVON WHITE |
NPI Number: | 1053507004 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 18704 |
Business Practice Address: | 15 S Main St New Castle, KY - 400502568 |
Business Phone Number: | 5028457550 |
Business Fax Number: | 5028455551 |
Mailing Address: | 15 S Main St, Po Box 189 NEW CASTLE |
State: | KY |
Postal Code: | 400502568 |
Phone Number: | 5028457550 |
Fax Number: | 5028455551 |
NPI Enumeration Date: | 09/23/2007 |
NPI Last Update Date: | 08/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18704 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |