Healthcare Provider Details

I. General information

NPI: 1679914303
Provider Name (Legal Business Name): KATE IMPERIAL WHITE DNP-APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2013
Last Update Date: 11/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 SOUTH LIMESTONE ( D, 1ST FLOOR, L-119) UNIVERSITY OF KENTUCKY
LEXINGTON KY
40536-0001
US

IV. Provider business mailing address

2333 ALUMNI PARK PLAZA ( D, 1ST FLOOR, L - 119) UNIVERSITY OF KENTUCKY
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 859-257-3253
  • Fax:
Mailing address:
  • Phone: 859-257-3253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number1123226
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3008165
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: