Individual
TIMOTHY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-7540
Mailing address
672 BREVARD CIR, PICKERINGTON, OH 43147-7875
(740) 279-9918
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
127184
OH
Other
Enumeration date
01/13/2020
Last updated
12/29/2020
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