Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Kaitlyn Deanna White, PA-C

Individual provider Physician Assistant · NPI 1205306404

Miss. Kaitlyn Deanna White, PA-C is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2018, 8 years ago. Practices with Randr Dermatology Services PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13301 N Meridian Ave Ste 201
Oklahoma City, OK 73120-8381
Phone: (405) 803-8020
Fax: (405) 437-2332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2970 (OK)

Record details

NPI number1205306404
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 29, 2018
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Randr Dermatology Services Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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