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NPI Code Detail

MEDICARE: KRYSTAL WHYTE

MEDICARE: KRYSTAL WHYTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse347833NY

General Provider Information

NPI Number : 1740132182
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTAL WHYTE
Provider Business Mailing Address
First Line : 2250 WEHRLE DR STE 1
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-7034
Country : US
Telephone Number : 716-276-2123
Fax Number :
Provider Business Practice Location Address
First Line : 2250 WEHRLE DR STE 1
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-7034
Country : US
Telephone Number : 716-276-2123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ KRYSTAL WHYTE ” Practice Location

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