Organization
KING'S WILLNESS AND WEIGHT LOSS CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY LYNN KING APRN-BC (OWNER)
(304) 252-3900
Entity
Organization
Contact information
Practice address
615 MARKET RD, BECKLEY, WV 25801-9445
(304) 252-3900
(304) 252-9311
Mailing address
615 MARKET RD, BECKLEY, WV 25801-9445
(304) 252-3900
(304) 252-9311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
49327
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71020690000
—
WV
Enumeration date
09/08/2017
Last updated
01/26/2023
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