Individual
MRS. SAVANNAH MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
325 W WALNUT ST, LEBANON, KY 40033-1377
(270) 699-9500
Mailing address
4207 FRANCES DR, BARDSTOWN, KY 40004-8721
(502) 507-3311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1134768
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134768
—
KY
Enumeration date
02/06/2019
Last updated
02/06/2019
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