Individual
CASEY LANETTE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
(937) 949-7497
Mailing address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
(937) 949-7497
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.145830
OH
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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