Individual
DEDRA LYNN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8565
(765) 485-8565
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8565
(765) 485-8565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001196155
VA
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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