Individual
KIMBERLY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 THIRD AVENUE SE, LEEDS, ND 58346
(701) 351-3850
Mailing address
PO BOX 52, LEEDS, ND 58346-0052
(701) 351-3850
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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