Individual
SAMANTHA KAY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, RN
Contact information
Practice address
2512 E DUPONT RD STE 105, FORT WAYNE, IN 46825-0045
(260) 222-7401
Mailing address
4014 FERNBANK DR, FORT WAYNE, IN 46815-5410
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
28250820A
IN
176B00000X
Midwife
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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