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Individual
DR. KELLIE RUTH KING
Active
Individual
DR. KELLIE RUTH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1017997
TX
363LF0000X
Family Nurse Practitioner
11009343
FL
Other
Enumeration date
09/24/2020
Last updated
03/28/2023
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