Individual
CARRIE L KIRK KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1923 PERTH RD, MADISON, OH 44057-1842
(440) 622-7314
Mailing address
1923 PERTH RD, MADISON, OH 44057-1842
(440) 622-7314
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4303904
—
OH
Enumeration date
09/12/2021
Last updated
09/12/2021
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