Provider Demographics
NPI:1912168519
Name:WHITE, WILLIAM A (MD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:A
Last Name:WHITE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 411851
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64141-1851
Mailing Address - Country:US
Mailing Address - Phone:913-588-6605
Mailing Address - Fax:913-588-0888
Practice Address - Street 1:7500 STATE LINE ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208
Practice Address - Country:US
Practice Address - Phone:913-588-6605
Practice Address - Fax:913-588-0888
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-34862207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology