Individual
TRACY B KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ELECTROLOGIST
Contact information
Practice address
1160 WINTER HAVEN WAY, LEXINGTON, KY 40509-2049
(859) 388-4297
(859) 523-9426
Mailing address
1160 WINTER HAVEN WAY, LEXINGTON, KY 40509-2049
(859) 388-4297
(859) 523-9426
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
123456
KY
Other
Enumeration date
03/19/2020
Last updated
01/28/2025
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