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General NPI Number Information
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NPI Number | 1952914475
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Entity Type | Organization
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Legal Business Name | KELSEY WHITE OD PLLC
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 4870 ELM SPRINGS RD
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City | SPRINGDALE
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State | AR
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Zip | 72762-3749
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Country | US
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Telephone | 479-235-6685
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Fax | 479-231-1386
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Provider Business Mailing Address
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Address Line | 7326 CHARLOTTE AVE
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City | SPRINGDALE
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State | AR
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Zip | 72762-7022
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELSEY WHITE
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Credential | OD
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Telephone | 479-857-3104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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