Individual
KIMBERLY S KING
Active
Individual
KIMBERLY S KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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
Update your record
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