Provider Demographics
NPI:1326366741
Name:WHITE, EMILY FURLOW (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:FURLOW
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:FURLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:803 MEYERS BAKER ROAD
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741
Mailing Address - Country:US
Mailing Address - Phone:606-878-3240
Mailing Address - Fax:606-878-4303
Practice Address - Street 1:803 MEYERS BAKER ROAD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741
Practice Address - Country:US
Practice Address - Phone:606-878-3240
Practice Address - Fax:606-878-4303
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY46186207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100273170Medicaid
KY7100636620Medicaid
KYP01432843OtherRR MEDICARE