Individual
MS. MARTHA J KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
(270) 956-8271
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
(270) 956-8271
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043054946
IL
164X00000X
Licensed Vocational Nurse
Primary
TN70727
TN
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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