Individual
KIERRA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 FOLLIS AVE, JOHNSTON CITY, IL 62951-1362
(423) 973-1614
Mailing address
1106 FOLLIS AVE, JOHNSTON CITY, IL 62951-1362
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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