KELLEY WHITE
NPI 1043336589
Counselor - Professional in Bolivar, MO

Q: What is Kelley White's NPI number?

The NPI number for Kelley White is 1043336589. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Q: What is Kelley White's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kelley White was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2007

104 W JACKSON ST, B, BOLIVAR, MO 65613(417) 777-1458 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelley White NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY WHITE (NPI 1043336589) is an individual professional provider in Bolivar, Missouri, licensed in Missouri (2005038988) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1043336589

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKELLEY WHITE

Location Address104 W JACKSON ST, BBolivar, MO 65613-1902

Mailing Address4733 S Robberson Ave, Apt. 101 HSpringfield, MO 65810-1786

Phone(417) 777-1458

Sole ProprietorYes

Enumeration DateMarch 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1043336589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 2005038988

104 W JACKSON ST, Bolivar, MO 65613

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley White's NPI number?

The NPI number for Kelley White is 1043336589. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Kelley White located?

Kelley White practices at 104 W Jackson St B, Bolivar, MO 65613. The listed phone number is (417) 777-1458.

What is Kelley White's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kelley White was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.