Individual
CRAIG DENNIS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, APRN
Contact information
Practice address
4641 FULTON DR NW, CANTON, OH 44718
(330) 433-6075
Mailing address
4641 FULTON DR NW, CANTON, OH 44718-2384
(330) 433-6075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.391698
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.022886
OH
Other
Enumeration date
12/18/2017
Last updated
06/18/2018
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