Individual
MRS. MARY KATHERINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6047 TYVOLA GLEN CIR STE 100, CHARLOTTE, NC 28217-6431
(443) 383-9300
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(443) 383-9300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5009332
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5009332
NC
363LG0600X
Gerontology Nurse Practitioner
5009332
NC
Other
Enumeration date
02/28/2017
Last updated
03/31/2026
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