Kelly White, is a
Counselor - Mental Health based in Dayton, Wyoming. Kelly White is licensed to practice in Wyoming (license number 526) and her current practice location is
311 Main St, Dayton, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 655-9626.
NPI number for Kelly White is 1275771180 and her current mailing address is Po Box 132, Dayton, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275771180.
Healthcare Provider's Profile
| Full Name | Kelly White |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 311 Main St, Dayton, Wyoming |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1275771180
- Provider Enumeration Date: 01/30/2009
- Last Update Date: 01/30/2009
Medical Identifiers
Medical identifiers for Kelly White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275771180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 526 (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly White is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly White,
Po Box 132,
Dayton, WY 82836-0132
Ph: (307) 655-9626 | Kelly White,
311 Main St,
Dayton, WY 82836-0132
Ph: (307) 655-9626 |
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