Individual
KAITLIN NICHOLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4055 S DURANGO DR, LAS VEGAS, NV 89147-4158
(702) 869-9503
(702) 869-4328
Mailing address
1601 N PARK DR, WINSLOW, AZ 86047-2559
(928) 289-4615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23057
NV
183500000X
Pharmacist
S025405
AZ
Other
Enumeration date
09/08/2021
Last updated
07/10/2024
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