Individual
MELODY SUE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
822 YOUNGS LANE, CINCINNATI, OH 45245
(513) 516-1453
Mailing address
822 YOUNGS LN, CINCINNATI, OH 45245-2629
(513) 516-1453
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
020761
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
026761
OH
Other
Enumeration date
05/10/2017
Last updated
09/25/2018
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