Individual
KANDICE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2201 OLD SPANISH TRL, WESTLAKE, LA 70669-7800
(337) 494-5150
Mailing address
3357 HIGHWAY 108 W, SULPHUR, LA 70665-8462
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08500
LA
Other
Enumeration date
09/27/2015
Last updated
09/27/2015
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