Individual
DIANA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2001015331
MO
363LP0200X
Pediatric Nurse Practitioner
99224
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861576464
—
MO
01
—
F29A00004
MEDICARE PTAN
—
Enumeration date
10/24/2006
Last updated
08/11/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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