Individual
BRIAN LEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
3901 E 32ND ST, JOPLIN, MO 64804-3312
(417) 347-7567
Mailing address
2626 E 14TH ST, JOPLIN, MO 64801-5340
(417) 499-0169
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025023589
MO
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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