Individual
KAREN KING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
505 S PLUMMER AVE, CHANUTE, KS 66720-0946
(620) 431-2500
(620) 431-0914
Mailing address
PO BOX 946, CHANUTE, KS 66720-0946
(620) 431-2500
(620) 431-0914
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44042
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048705
BLUE CROSS BLUE SHIELD
KS
01
—
453240
FIRSTGUARD
KS
01
—
P00156552
RAIL ROAD MEDICARE
—
Enumeration date
06/24/2005
Last updated
07/08/2007
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