Individual
EMILY M KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3000
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 212-1358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1082370
KY
363L00000X
Nurse Practitioner
Primary
3002225
KY
363LF0000X
Family Nurse Practitioner
2225P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200251140
—
IN
01
—
500012779
RAILROAD MEDICARE
KY
05
—
78003241
—
KY
Enumeration date
04/19/2006
Last updated
09/13/2021
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