Individual
OLIVIA MICHELLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
125 E TOWNSHIP ST, SUITE 1, FAYETTEVILLE, AR 72703-2817
(479) 443-7791
(479) 443-7791
Mailing address
PO BOX 173, OAKS, OK 74359-0173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L38828
AR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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