Individual
BRIGETTE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429
(937) 298-4331
Mailing address
2956 PURDUE RD, KETTERING, OH 45420
(937) 608-1310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN415671
OH
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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