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Mr. Kevin Jerome White JR.
Military Health Care Provider in Bethesda, Maryland
NPI 1730768714

Kevin Jerome White JR. is a Military Health Care Provider based in Bethesda, MD. Kevin Jerome White JR. practices in Bethesda, MD. The NPI Number for Kevin Jerome White JR. is 1730768714 and holds a License No. (Maryland).

The current practice location address for Kevin Jerome White JR. is 8901 Wisconsin Ave, Bethesda, MD and can be reached out via phone at 301-295-4000.

Location: 8901 Wisconsin Ave, Bethesda, MD, 20889-0004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730768714
Provider Name
Kevin Jerome White JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
8901 Wisconsin Ave, Bethesda, MD, 20889-0004
Phone Number
301-295-4000
Fax Number
Provider Enumeration Date
04/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8901 Wisconsin Ave
City
Bethesda
State
Maryland
Zip
20889-0004
Phone Number
301-295-4000
Fax Number
person
Provider Business Mailing Address Details
Address
8901 Wisconsin Ave
City
Bethesda
State
Maryland
Zip
20889-0004
Phone Number
301-295-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
0101276328 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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