Individual
MRS. CARRIE YVONNE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3903 VANTAGE PL, LOUISVILLE, KY 40299-6801
(502) 356-4377
(888) 959-2460
Mailing address
3903 VANTAGE PL, LOUISVILLE, KY 40299-6801
(502) 356-4377
(888) 959-2460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007860
KY
Other
Enumeration date
02/16/2013
Last updated
11/05/2019
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