Organization
KINGS PSYCHIATRIC SERVICES LLC
Active
Other names
Charlene D King
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE D KING DNP, FPMHNP-BC (OWNER)
(601) 448-5176
Entity
Organization
Contact information
Practice address
713 FARMER ST, PORT GIBSON, MS 39150-2319
(601) 448-5176
(601) 448-5197
Mailing address
713 FARMER ST, PORT GIBSON, MS 39150-2319
(601) 448-5176
(601) 448-5197
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R8396684
MS
Other
Enumeration date
12/12/2013
Last updated
03/01/2016
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