Individual
COURTNEY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 E SYDNEY ST, PHILADELPHIA, PA 19150-3423
(484) 548-0115
Mailing address
1026 E SYDNEY ST, PHILADELPHIA, PA 19150-3423
(484) 548-0115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
SL010743
PA
363LF0000X
Family Nurse Practitioner
Primary
SP026602
PA
Other
Enumeration date
04/04/2012
Last updated
05/16/2024
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