Individual
TAMMY L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
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
363L00000X
Nurse Practitioner
Primary
49327
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7102069000
—
WV
Enumeration date
08/23/2006
Last updated
01/26/2023
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