Individual
MISTY DAWN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2920 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-5924
(618) 731-6560
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041305914
IL
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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