Individual
GRACE MADALYN WIEBE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 669-2500
Mailing address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1131
(206) 692-5006
(620) 694-2006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-80345-101
KS
Other
Enumeration date
07/09/2021
Last updated
03/29/2022
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