Individual
DR. JENNIFER L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 N ALPHA ST, GRAND ISLAND, NE 68803-4320
(308) 382-2010
(308) 382-9549
Mailing address
800 N ALPHA ST, GRAND ISLAND, NE 68803-4320
(308) 382-2010
(308) 382-9549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21859
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35830
BCBS NUMBER
NE
05
—
47059252300
—
NE
Enumeration date
07/13/2005
Last updated
03/25/2014
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