Individual
NIKITA ANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13205 ISLE DR, BAXTER, MN 56425-8554
(218) 454-7600
Mailing address
22199 EAGLE VIEW DR, DEERWOOD, MN 56444-6102
(218) 838-7211
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/01/2026
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