Individual provider · Type 1 NPI

Keegan J. White, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1093445744 Active

Practice location

5141 Broadway
New York, NY 10034-1159

Call (585) 953-7296 Map

Mailing address

67 Derrick Dr
West Henrietta, NY 14586-8914

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1093445744

Keegan J. White, PA-C's National Provider Identifier is 1093445744, issued on Jun 15, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Jun 15, 2022.