Individual
MRS. MELISSA E KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5433
Mailing address
250 W 96TH ST # 520, INDIANAPOLIS, IN 46260-1316
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71005010A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201251490
—
IN
01
—
471400530
MEDICARE
IN
Enumeration date
07/17/2014
Last updated
05/08/2021
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