Individual
MR. CHARLES KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
826 KY 11 N, BOONEVILLE, KY 41314-9155
(606) 593-6395
(606) 593-5916
Mailing address
122 WHISPERING HILLS DR, BEREA, KY 40403-9753
(859) 625-2804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3010331
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3010331
KY
Other
Enumeration date
06/08/2016
Last updated
11/02/2021
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