Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kourtney Elizabeth White, PA

Individual provider Medical Physician Assistant · NPI 1184212441

Kourtney Elizabeth White, PA is a Physician Assistant in Douglas, Wyoming. Qualified in 2020, 6 years ago. Practices with Summit Memorial Medical Group LLC, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
6
Licensed in
WY
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

700 E Center St
Douglas, WY 82633-2446
Phone: (307) 358-7359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PT912 (WY)

Record details

NPI number1184212441
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 4, 2021
Last updated in NPPESJanuary 4, 2021
Certification dateDecember 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Summit Memorial Medical Group Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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