Individual
CAROLYN LUNDY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 WESTWOOD CMN # A, BLUEFIELD, VA 24605-2031
(276) 235-6232
(276) 250-5117
Mailing address
12301 GRAPEFIELD RD, BASTIAN, VA 24314-4547
(276) 688-4331
(276) 688-4336
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024168388
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024168388
VA
Other
Enumeration date
08/11/2009
Last updated
10/18/2024
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