Dr Kelley J White, MD | |
101 Boulder Point Drive, Suite 1, Plymouth, NH 03264-3170 | |
(603) 536-4000 | |
(603) 536-4001 |
Full Name | Dr Kelley J White |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 101 Boulder Point Drive, Plymouth, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902952906 | NPI | - | NPPES |
30208231 | Medicaid | NH | |
0009170610001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD-026612-E (Pennsylvania) | Secondary |
208000000X | Pediatrics | 14003 (New Hampshire) | Primary |
Entity Name | Covenant House Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659462679 PECOS PAC ID: 3476591686 Enrollment ID: O20050419000796 |
Mailing Address | Practice Location Address |
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Dr Kelley J White, MD 101 Boulder Point Drive, Suite 1, Plymouth, NH 03264-3170 Ph: (603) 536-4000 | Dr Kelley J White, MD 101 Boulder Point Drive, Suite 1, Plymouth, NH 03264-3170 Ph: (603) 536-4000 |
Dr. David Jude Cunis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 71 Highland St, Dartmouth Hitchcock Clinic, Plymouth, NH 03264 Phone: 603-536-3700 Fax: 603-536-5384 | |
Danette T Colella, Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Boulder Point Dr Ste 1, Plymouth, NH 03264 Phone: 603-536-4000 Fax: 603-536-4000 | |
Nancy Crocker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 71 Highland St, Plymouth, NH 03264 Phone: 603-536-3700 | |
Heather Wright Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 71 Highland St, Dartmouth-hitchcock Clinic/pediatrics, Plymouth, NH 03264 Phone: 603-536-3700 | |
Eric Matthew Shamansky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 71 Highland St, Plymouth, NH 03264 Phone: 603-536-3700 |