Individual
GREGORY J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2322 S MAIN ST, FORT SCOTT, KS 66701-3026
(620) 223-8064
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44801
KS
Other
Enumeration date
09/28/2006
Last updated
05/02/2023
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