Individual
KIMBERLY SUZANNE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
350 LANGDON ST, SOMERSET, KY 42503-2786
(606) 678-8155
(606) 678-7548
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4082P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78010006
—
KY
Enumeration date
01/24/2006
Last updated
04/17/2024
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