Willa Ruth White

NPI #1023163151 in Hazard, Kentucky

Provider Information

NPI Number: 1023163151
Entity Type: Individual
Name: Willa Ruth White
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jan 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 115 ROCKWOOD LN
City: Hazard
State: Kentucky
ZIP Code: 41701-9415
Phone: (606) 436-5761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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