Individual
CHRISTINE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, CNA
Contact information
Practice address
136 CEDAR ST, KINGSTON, NY 12401-4934
(518) 821-9092
Mailing address
136 CEDAR ST, KINGSTON, NY 12401-4934
(518) 821-9092
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307743
NY
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0350478
—
NY
Enumeration date
10/02/2012
Last updated
10/18/2016
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