Individual
INA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 521-8260
(479) 443-3903
Mailing address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 521-8260
(479) 443-3903
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ANP1041
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129773758
—
AR
01
—
59871
BLUE
AR
Enumeration date
05/11/2006
Last updated
02/18/2010
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