Individual
TAMELA R. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
37484
WV
363L00000X
Nurse Practitioner
Primary
COA.05133-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2315300
—
OH
05
—
7102062000
—
WV
05
—
78012846
—
KY
Enumeration date
07/05/2005
Last updated
01/29/2018
Update your record
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