Individual
MS. SUSSY LYNN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 325-5244
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22686
NE
207Q00000X
Family Medicine Physician
Primary
66716
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100064948
—
WI
05
—
10025691800
—
NE
05
—
10025873800
—
NE
01
—
1942325923
NPI
WI
01
—
45329
BCBS
NE
Enumeration date
03/20/2007
Last updated
03/02/2026
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