Individual
MRS. KATHRYN L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2028 W POPLAR AVE, STE 112, COLLIERVILLE, TN 38017-0618
(901) 866-8372
(901) 302-2372
Mailing address
2028 W POPLAR AVE, STE 112, COLLIERVILLE, TN 38017-0618
(901) 866-8372
(901) 302-2372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN88008
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519558
—
TN
Enumeration date
06/28/2010
Last updated
02/01/2017
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