Individual
SCOTTY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
212 E 8TH ST, BEAVER, OK 73932-3184
(580) 625-4551
Mailing address
PO BOX 640, BEAVER, OK 73932-0640
(580) 625-4551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207607
OK
Other
Enumeration date
04/18/2022
Last updated
05/16/2023
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