Individual
JANET KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Contact information
Practice address
1024 8TH ST, RUPERT, ID 83350-1306
(208) 436-0734
(208) 436-0735
Mailing address
678 E 400 N, RUPERT, ID 83350-9460
(208) 436-5842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NP67A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002546201
—
ID
Enumeration date
10/04/2005
Last updated
01/16/2008
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