Individual
KRISTA LEE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W NORTH C ST, GAS CITY, IN 46933-1451
(765) 661-4940
Mailing address
9909 E 100 S, GREENTOWN, IN 46936-9163
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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