Organization
BALANCED LIFE PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL E KING M.D. (OWNER)
(270) 686-6168
Entity
Organization
Contact information
Practice address
3240 MOUNT MORIAH AVE, OWENSBORO, KY 42303-7805
(270) 686-6168
(270) 686-6140
Mailing address
3240 MOUNT MORIAH AVE, OWENSBORO, KY 42303-7805
(270) 686-6168
(270) 686-6140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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