Provider Demographics
NPI:1043326937
Name:WHITE, KATHERINE LINK (MD)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:LINK
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 CARLON DR
Mailing Address - Street 2:STE A
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060
Mailing Address - Country:US
Mailing Address - Phone:413-585-0010
Mailing Address - Fax:413-585-0026
Practice Address - Street 1:39 CARLON DR.
Practice Address - Street 2:STE A
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-1911
Practice Address - Country:US
Practice Address - Phone:413-585-0010
Practice Address - Fax:413-585-0026
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA229832207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I31470Medicare UPIN