Kristen Kay White, SSP is a
Psychologist - School based in Dupo, Illinois. Kristen Kay White is licensed to practice in Illinois (license number 2439989) and her current practice location is
600 Louisa Ave, Dupo, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 286-3214.
NPI number for Kristen Kay White is 1275149734 and her current mailing address is 600 Louisa Ave, Dupo, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275149734.
Healthcare Provider's Profile
Full Name | Kristen Kay White |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 600 Louisa Ave, Dupo, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275149734
- Provider Enumeration Date: 09/21/2020
- Last Update Date: 09/21/2020
Medical Identifiers
Medical identifiers for Kristen Kay White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275149734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 2439989 (Illinois) | 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. Kristen Kay 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 |
Kristen Kay White, SSP 600 Louisa Ave, Dupo, IL 62239-1469 Ph: (618) 286-3214 | Kristen Kay White, SSP 600 Louisa Ave, Dupo, IL 62239-1469 Ph: (618) 286-3214 |
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