IndividualActive
Jerry White, MD
NPI 1992775209 · Developmental - Behavioral Pediatrics Physician · Fort Campbell, KY
Provider details
- NPI number
- 1992775209
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD.018896 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-4677
Fax: (270) 956-0444
Approximate (ZIP-level) locationGet directions
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Registry dates
- Enumerated
- 2006-01-26
- Last updated
- 2025-01-16
- Certified
- 2025-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.