Individual
KATIE JEAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, APRN
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2167
MN
Other
Enumeration date
12/20/2017
Last updated
11/20/2023
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