IndividualActive
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
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
Mailing address
700 E Center St
Douglas, WY 82633-2446
Additional practice locations (1)
- 6500 E 2nd StCasper, WY 82609-4338Phone: (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.