Individual
LEVI J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
606A BOLL WEEVIL CIR, ENTERPRISE, AL 36330-2734
(334) 475-2462
Mailing address
605 LEE BOY RD, NEWTON, AL 36352-8003
(334) 796-9435
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
1-163478
AL
363L00000X
Nurse Practitioner
Primary
1-163478
AL
Other
Enumeration date
02/09/2023
Last updated
03/14/2023
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