Individual
KASSIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP9311462
FL
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
12/03/2020
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