Provider Demographics
NPI:1184204919
Name:KIMBERLY H WHITE ENTERPRISES LLC
Entity type:Organization
Organization Name:KIMBERLY H WHITE ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHISENHUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-372-9372
Mailing Address - Street 1:1516 HUNTERS RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-2913
Mailing Address - Country:US
Mailing Address - Phone:940-380-1457
Mailing Address - Fax:
Practice Address - Street 1:1516 HUNTERS RIDGE CIR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-2913
Practice Address - Country:US
Practice Address - Phone:940-380-1457
Practice Address - Fax:866-681-6532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech