Individual
BRIAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
7059 ORCHARD CENTRE DR, HOLLAND, OH 43528-7961
(567) 297-4117
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021735
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021735
APRN-CNP
OH
01
—
4704268055
APRN-CNP
MI
Enumeration date
09/06/2017
Last updated
09/15/2021
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