Individual
MRS. TAMARA LYNN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WYOMING ST, BERRY BUILDING, GROUND FLOOR, DAYTON, OH 45409-2722
(937) 208-2516
(937) 208-6124
Mailing address
1 WYOMING ST, BERRY BUILDING, GROUND FLOOR, DAYTON, OH 45409-2722
(937) 208-2516
(937) 208-6124
Taxonomy
Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
RN282583
OH
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN282583
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
COA.18661-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156508
—
OH
Enumeration date
12/09/2015
Last updated
04/04/2016
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