Individual
MRS. ANGELA L KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2905 N MAIN ST, DECATUR, IL 62526-4274
(217) 877-9117
(217) 877-3081
Mailing address
4731 BARBERRY CT, DECATUR, IL 62526-9329
(217) 791-2003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013099
IL
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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