DR. KENNETH SAMUEL WHITE (NPI# 1609877836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609877836 |
| Entity Type | Individual |
| Full Name | DR. KENNETH SAMUEL WHITE |
| Other Name | DR. KENNETH WHITE |
| Credential | M.D. |
| Practice Address |
1404 Commonwealth Dr Wilmington NC 28403-1473 |
| Practice Telephone | 9103430119 |
| Practice Fax Number | 9103438983 |
| Mailing Telephone | 9103430119 |
| Mailing Fax Number | 9103438983 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2011-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
28378 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215329636 | Kenneth White | Case Manager/Care Coordinator | 11937 Chester Creek Rd, Jacksonville, FL 32218-3314 | 2015-02-22 |
| 1558683847 | Kenneth Julius White | Pharmacist | 4269 Roswell Rd, Marietta, GA 30062-6488 | 2010-02-27 |
| 1316199268 | Kenneth Francis White | Dentist | 6273 Annapurna Dr, Evergreen, CO 80439-5332 | 2008-10-22 |
| 1003976358 | Kenneth L White | Optometrist | 2316 83rd St Nw, Gig Harbor, WA 98332-7545 | 2006-12-09 |
| 1912520057 | Kenneth Wayne White Jr. | Dentist | 8525 Pit Stop Ct Nw Ste A, Concord, NC 28027-8338 | 2020-05-23 |
| 1992297048 | Kenneth White | Physical Therapist | 25900 Greenfield Rd, Oak Park, MI 48237-1292 | 2018-06-05 |
| 1073909040 | Kenneth Ray White | Nurse Practitioner | 1240 Lee St, Charlottesville, VA 22908-0001 | 2015-04-07 |
| 1801133657 | Kenneth Ray White | Social Worker | 512 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-1943 | 2013-01-14 |
| 1144599812 | Kenneth E White | Psychiatry & Neurology | 24 Chestnut St, Vinalhaven, ME 04863-0823 | 2011-12-23 |
| 1063795110 | Kenneth H White | Counselor | 1225 W Mitchell St, #223, Milwaukee, WI 53204-3383 | 2011-09-26 |
| Street Address |
1404 COMMONWEALTH DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-1473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043356868 | Tor Martin Ljung | Surgery | 6752 Parker Farm Dr # 200, Wilmington, NC 28405-3175 | 2007-01-29 |
| 1689676611 | Charles Richard Kays | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2005-08-10 |
| 1568463131 | Jeffrey Scott Church | Surgery | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2005-08-09 |
| 1487650867 | Benjamin Cooper | Surgery | 1941 Limestone Rd Ste 101, Wilmington, DE 19808-5413 | 2005-06-22 |
| 1922591320 | Gillespie Plastic & Reconstructive Surgery | Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2018-06-11 |
| 1235195389 | Wilmington Plastic Surgery Specialists, P.a. | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2006-04-25 |
| 1275535072 | Mark Wayne Morgan | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2005-08-11 |
| 1598767535 | Dennis Bart Nicks | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447813753 | Kds Aesthetics, Pllc | Surgery | 2806b Wooten Blvd., Wilson, NC 27893-8624 | 2019-04-22 |
| 1124681689 | Cami Surgery Center, Pllc | Surgery | 8712 Lindholm Dr Ste 308, Huntersville, NC 28078-1872 | 2019-04-19 |
| 1154777936 | Shuting Zhong | Surgery | 130 Manson Farm Rd # 2100, Chapel Hill, NC 27599-0001 | 2016-05-10 |
| 1205216173 | Henry Neale Sr. | Surgery | 117 Shenandoah Terrace, Montreat, NC 28757 | 2015-06-04 |
| 1689940603 | Asheville Aesthetic Plastic Surgery | Surgery | 108 Yorkshire Street, Suite D, Asheville, NC 28803-2759 | 2012-03-23 |
| 1245428358 | Jeyhan S Wood | Surgery | 7033 Burnett Womack Bldg Cb 7195, Chapel Hill, NC 27599-0001 | 2007-10-15 |
| 1255528477 | Rutherford Hospital, Inc. | Surgery | 128 Doctor Henry Norris Dr, Rutherfordton, NC 28139-3165 | 2007-10-02 |
| 1215144670 | David Hardman Harley | Surgery | 13620 Reese Blvd E, Suite 110, Bldg Xii, Huntersville, NC 28078-6417 | 2007-05-16 |
| 1669538971 | Southland Plastic Surgery | Surgery | 501 North Aspen St, Lincolnton, NC 28092-2105 | 2006-12-29 |
| 1396829271 | Michael Zenn | Surgery | 7920 Acc Blvd Ste 110, Raleigh, NC 27617-8744 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on DR. KENNETH SAMUEL WHITE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.