Individual
JONATHAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 PARKVIEW DR, MILLERSBURG, OH 44654-8949
(330) 674-1200
Mailing address
110 DUBLIN DR, STE B, DOVER, OH 44622-7805
(330) 343-0753
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
351521
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.019516
OH
Other
Enumeration date
07/12/2016
Last updated
09/26/2018
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