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Keith White

NPI 1518475268 · on the registry since 2018 · sole proprietor

Practice

Address
12050 Lake Ave Apt 504
Lakewood, OH 44107
Phone
(216) 231-3772
Fax
(216) 231-3772
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio