Individual
HEATHER KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
2327 LIME KILN LN, LOUISVILLE, KY 40222-3422
(502) 414-4557
Mailing address
212 N 2ND ST STE 100, RICHMOND, KY 40475-1408
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3014670
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020002420
ANCC
—
01
—
3014670
KENTUCKY BOARD OF NURSING
KY
Enumeration date
06/08/2020
Last updated
10/27/2020
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