Individual
MR. DANIEL DAVID KING
Active
Individual
MR. DANIEL DAVID KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
209-023540
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209023540
IL
367500000X
Certified Registered Nurse Anesthetist
RN2300046
MA
Other
Enumeration date
04/29/2016
Last updated
12/09/2024
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