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Kourtney White, PA — NPI 1184212441, Douglas, WY | NPI Central

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NPI 1184212441

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Kourtney White, PA

NPI 1184212441 · Medical Physician Assistant · Douglas, WY

Provider details

NPI number: 1184212441
Entity type: Individual
Primary specialty: Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA
Sex: Female
Sole proprietor: Yes
License: PT912 (WY)

Specialties & taxonomies

Medical Physician AssistantPrimary363AM0700XLicense PT912 (WY)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

700 E Center St

Douglas, WY 82633-2446

Phone: (307) 358-7359

Approximate (ZIP-level) locationGet directions

More WY providers

Mailing address

700 E Center St

Douglas, WY 82633-2446

Additional practice locations (1)

6500 E 2nd St
Casper, WY 82609-4338
Phone: (307) 577-5100

Registry dates

Enumerated: 2021-01-04
Last updated: 2021-01-04
Certified: 2020-12-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.