NPI 1629199674

Kelly Koziol White

Practitioner Perfusionist Hattiesburg, MS

Practice location

Address: 415 S 28th Ave, Hattiesburg, MS 39401-7246
Phone: (601) 268-5800
Fax: (601) 261-3530

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 040030 (MS)

Other Perfusionist providers in Mississippi →

Registry record

NPI: 1629199674
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2007
Record last updated: 23 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.