Individual
KIMBERLY S KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
303 NW 11TH ST, FAIRFIELD, IL 62837-1206
(618) 842-2611
(618) 847-8360
Mailing address
303 NW 11TH ST, FAIRFIELD, IL 62837-1206
(618) 842-2611
(618) 847-8360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
55479
KS
207LP2900X
Pain Medicine (Anesthesiology) Physician
209-007060
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
201802897CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
55479
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200363250A
—
KS
05
—
500743849
—
OR
Enumeration date
04/13/2006
Last updated
08/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us